120 (01): 111 DOI: 10.1017/S0007114518001356
Peptidesshort chains of amino acidsare increasingly used in therapeutic and aesthetic applications
Major Reclassification : This detailed, stepwise procedure applies to applications that break new ground, such as a new type of medicine or condition being considered for a classification change
Comment: A commenter expressed concern about a growing national trend of reduced ASC access for retina surgery, noting that a majority of retina specialists in a recently-performed survey report difficulty accessing sufficient OR time for emergent cases such as retinal detachment repair, with many having their ASC surgical block time reduced or eliminated due to inadequate facility reimbursement that results in significant financial losses for procedures like retinal detachment repair (CPT code 67108 (Repair of retinal detachment
Any diagnostic radiopharmaceutical with a per-day cost at or below that threshold would continue to be policy packaged under our longstanding policy codified at 419.2(b)(15)
Services distinct from other non E/M services performed on the same day, but are considered appropriate under the particular circumstances have to be reported using the modifier 59
