FDA Approval: LUMVOA (VELIGROTUG-VVZE) — Type 1 - New Molecular Entity
Policy FDA-BLA761530 · Ophthalmology
CriticalLUMVOA (veligrotug) was approved on June 26, 2026 as a new molecular entity administered intravenously, placing it squarely in the Part B billing pathway as a provider-administered injectable. As a br
View alertFDA Approval: FLUORESCITE (FLUORESCEIN SODIUM) — Type 5 - New Formulation or New Manufacturer
Policy FDA-NDA021980 · Ophthalmology
HighFluorescite (Fluorescein Sodium) is approved as an injectable drug, which suggests it will qualify for a J-code assignment for Medicare billing. As an injectable and likely high-cost therapy, it may b
View alertFDA Approval: RANLUSPEC (RANIBIZUMAB-HKDZ) — Type 2 - New Active Ingredient
Policy FDA-BLA761480 · Ophthalmology
HighThe billing pathway for RANLUSPEC cannot be determined until the FDA label publishes. Billing teams should verify against the label for the final route of administration and associated billing details
View alertLCD L34760: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) — WPS
Policy LCD-L34760 · Ophthalmology
HighThe new LCD on SCODI by WPS introduces specific guidelines that could impact the billing processes for ophthalmic diagnostic imaging services. Practices may need to adjust their coding and ensure comp
View alert