Sight Sciences (SGHT) announced that two Medicare Administrative Contractors, Novitas Solutions and First Coast Service Options, each established jurisdiction-wide pricing for CPT code 0563T, which describes the procedure performed with the Company’s TearCare System and related accessories. The Medicare fee schedule amount is effective for dates of service on and after January 1, 2025, in all Novitas and FCSO jurisdictions and localities. The established local fee schedule amount for CPT code 0563T is active for claim processing and is expected to be published on the Novitas and FCSO websites for reference by eyecare providers in these areas. TearCare procedure claims will be payable by First Coast and Novitas in the areas administered by them based on individual medical necessity determinations.
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