Skincure is suing CMS

[TheWallnerus]

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Medicare Cuts Coverage in Image-Guided Superficial Radiotherapy, Lawsuit Filed | CancerNetwork

SkinCure Oncology filed a federal lawsuit against CMS and HHS to challenge the elimination of reimbursement for image-guided radiation therapy for nonmelanoma skin cancer.

www.cancernetwork.com

 

[TheWallnerus]

For context to the ignoratti, the code used to be G6001 and reimbursed about $150 per fraction. The total national reimbursement was about $30 million a year (not that much really). It was a “rad onc” code but only derms (and some ENTs and family practice types) ever billed it. The new US IGRT code is something like 77439 and reimburses ten bucks but only once for the entire treatment course.

 

[A_DeMichele]

I wonder if a CMS code change has ever been reversed by a lawsuit

 

[TheWallnerus]

I wonder if a CMS code change has ever been reversed by a lawsuit

I am gonnna say no

 

[Gfunk6]

May I ask what IG-SRT is and how is it superior to a light field?

<edit> Never mind I found it. Looks like ASTRO has already issued a formal statement that this is marketing hype and not necessary.

 

[TheWallnerus]

May I ask what IG-SRT is and how is it superior to a light field?

- You may
- It is not