Reimbursement In Brief

Medicare will cover clinical trials of extracorporeal photopheresis in lung transplant recipients. Government Accountability Office reports on GPO oversight. More reimbursement news.

Medicare will nationally cover extracorporeal photopheresis for the treatment of bronchiolitis obliterans syndrome in lung transplant patients, but only when the procedure is done as part of a clinical research study meeting certain conditions. CMS announced the policy in a final decision issued May 2. (See Also see "Reimbursement In Brief" - Medtech Insight, 6 February, 2012..) In a new twist also seen in a recent bariatric surgery coverage proposal, the agency said the ECP clinical studies must be approved within two years; if there are no approved studies by May 2, 2014, the coverage policy will expire. (See Also see "CMS Obesity Coverage Proposal Includes Sunset Deadlines For CED Studies" - Medtech Insight, 9 April, 2012..)

The policy expands on the Medicare-allowed uses of extracorporeal photopheresis, a procedure in which a patient's white blood cells are...

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