OPT Coverage Expanded

Article Overview

This article covers a Medicare coverage change affecting ocular photodynamic therapy for age-related macular degeneration, including the newly covered clinical categories, the effective date, and the related payment context for the procedure and drug. It is relevant to ophthalmology practices, especially retina specialists, and to coders and billing staff who track Medicare local and national coverage updates. The article also places the change in context by noting the prior coverage framework and that some uses remain non-covered under Medicare guidance.