Advocacy News

WPS accepted the Academy’s recommendation to correct its cataract surgery billing and coding article in response to denials of CPT 66982 billed with mature cataracts.

UnitedHealthcare and Humana responded to our Oct. 31 letters alerting payers of access issues for compounded Avastin. Practices should note the national shortage when requesting prior authorization for another drug.

Congress has recessed and left Washington, D.C., for the year without addressing the impending cuts to Medicare payment, set to take effect Jan. 1, 2025, putting patient’s access to sight-saving care at risk.

Noridian informed the Academy that a claims processing editing error caused denials and is working on a fix.

See how the Surgical Scope Fund helped successfully defend safe eye surgery in a year of record setting scope challenges at the state level, winning in 10 of 14 states so far.

Despite our opposition, the finalized revisions to transfer of care modifier -54 requirements, are effective starting Jan. 1. See the updated requirements for billing this code.

See how we are working to protect your ability to care for your patients.

The “gold card” program would exempt certain practices from prior authorization requirements.

Learn about new add on code G0559 and how it can be used.

The Academy and ASRS are working to minimize step therapy burdens by calling on Aetna to add Izervay to its 2025 Medicare Advantage Part B preferred drug list.