BTG has announced its finalised category I CPT codes, received from the US Centers for Medicare and Medicaid Services. The codes will be be effective from 1 January, 2018.
The fee schedule details payments for conducting Varithena treatments in the physician office setting of US$1,624.30 for a single vein and US$1,697.02 for multiple veins. The new CPT codes define Medicare payment rates and enable automatic and electronic processing of claims, “providing physicians in the USA with further predictability of payment and streamlining the reimbursement process,” a company press release says.
“We believe the new CPT codes are appropriate and have the potential to underpin our current expectations for the product,” commented Louise Makin, BTG’s CEO. “However, we must wait and see how they impact physician adoption and insurer practices, and we should have a better understanding of that by the end of 2018.”