Program_Memos / 2000 / AB-00-63

Why This Topic Matters

It helps readers recognize how a specific Medicare program memorandum addressed a newly approved eye treatment, its related drug, and the administrative billing framework surrounding those services during the transition to outpatient PPS.

Article Sections

1. Subject: Ocular Photodynamic Therapy (OPT)

   Introduces the memorandum topic and the clinical context for the service discussed in the policy.

2. Coverage and billing guidance

   Summarizes the Medicare coverage framework, the setting in which the service may be covered, and the related billing approach described in the memorandum.

3. Outpatient PPS transition and experimental services

   Describes the transition-related guidance tied to outpatient payment changes and the broader categories of services referenced as outside approved use.

4. Effective date and implementation

   Lists the timing information for when the memorandum takes effect and when it should be implemented.