Weekly News

Is Prior Authorization Expanding for Ophthalmology in 2026? As of September 2026, prior authorization requirements for ophthalmology procedures are expanding on two fronts. Medicare Advantage

What is changing in the FY 2027 ICD-10-CM update for ophthalmology? As of October 1, 2026, the FY 2027 ICD-10-CM code set takes effect with

What Changed for Ophthalmology ASC Billing in 2026? Two CMS changes hit ophthalmology ambulatory surgery centers in 2026. First, Medicare cut the surgeon payment for

Can You Bill an Office Visit on the Same Day as an Eye Injection? Modifier 25 is a billing code that lets a practice report

What Is Ahzantive and How Does It Affect Ophthalmology Billing? As of late August 2026, the FDA approved Ahzantive (aflibercept-mrbb), an interchangeable biosimilar to Eylea

What Is the Mandatory MVP Proposal for Ophthalmology? As of September 2026, the CMS CY 2027 Physician Fee Schedule proposed rule (CMS-1848-P) includes a provision

What Is the CMS Software as a Medical Service Proposal? As of August 2026, CMS has proposed a new Medicare payment category called Software as

What Does the Yesafili Launch Mean for Ophthalmology Billing? Yesafili (aflibercept-jbvf) is an interchangeable biosimilar to Eylea 2 mg that Biocon launched in the United

What Are the New Blepharoplasty Prior Authorization Requirements for Ophthalmology ASCs? As of January 2026, CMS requires prior authorization for blepharoplasty, blepharoptosis repair, brow ptosis

What Are the 2027 Medicare Changes for Ophthalmology? As of July 2026, the CMS CY 2027 Physician Fee Schedule proposed rule introduces payment reductions that