CMS continues separate payment for surgical drug in ASCs — 3 insights

ASC can continue to receive separate payment for Omeros’ cataract surgery drug, Omidria, under CMS’ 2021 Hospital Outpatient Prospective Payment System and ASC Payment System Final Rule.

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What you should know:

1. Omidria phenylephrine and ketorolac intraocular solution 1 percent/0.3 percent qualifies for separate payment retroactive to Oct. 1, 2020.

2. This is the first time Omidria is eligible under CMS’ payment policy for non-opioid pain management surgical drugs in the ASC.

3. Omidria is FDA-approved for use in cataract or lens replacement to prevent intraoperative pupil constriction and reduce postoperative ocular pain.

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