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 L38026: Corneal Hysteresis — Palmetto GBA
Policy LCD-L38026 · Ophthalmology
HighThe new LCD on Corneal Hysteresis will likely streamline the billing process for ophthalmology services, ensuring that necessary tests are covered under Medicare. Providers should prepare for potentia
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