SAN JOSE, Calif., Jan. 5 /PRNewswire-FirstCall/ -- Laserscope (Nasdaq: LSCP), a pioneer in the development and commercialization of minimally-invasive medical devices, including medical lasers and advanced fiber-optic delivery devices, said today that the Centers for Medicare and Medicaid Services (CMS) published a technical revision to the 2006 Medicare physician fee schedule. Under the technical revision, the current procedural terminology code (CPT(r)) 52648 was assigned non-facility relative value units (RVU) for performing the Company's Photoselective Vaporization of the Prostate (PVP) procedure for the treatment of Benign Prostatic Hyperplasia (BPH) in an appropriately equipped office setting. The reimbursement rate for the office-based procedure code was set at a national average of approximately $3,100 effective January 1, 2006. Previously, CPT(r) code 52648 only provided a reimbursement for PVP procedures performed in a hospital setting. For 2006 the reimbursement for PVP procedures performed in a hospital setting under CPT(r) code 52648 is approximately $600 to the physician and $2,500 to the hospital. For procedures done in a well-equipped office setting, the entire reimbursement is approximately $3,100.
"While the majority of PVP procedures are currently performed in the hospital outpatient setting, some physicians have been safely performing PVP in well-equipped offices. We are extremely pleased that our ongoing, cooperative effort with the AUA and CMS has resulted in physicians continuing to have the choice to determine the most suitable site of service in which to treat their patients," said Eric Reuter, President and Chief Executive Officer of Laserscope. "Although Laserscope will not advocate one setting over another since this is the physician's choice, we have long maintained that PVP is clinically the most efficacious procedure for treating BPH given its durability, clinical outcomes, and safety profile. The technical correction will ensure that Medicare beneficiaries suffering from BPH will have access to PVP in all sites of service."
Thank God for some good news... orrr... thank CMS. Anyway, the one thing I can't figure out is does a properly equipped doctor's office mean it has to have overnight beds as many stay overnight currently even for a green light. How does that get dealt with if they need to stay over? Also the release talks about doctor's offices and Hospitals. Where do surgery centers fall in all this? Are they the same as hospitals...Do they typically have overnight beds? Thanks in advance.
In answer to your question, many physicians have "faculty practices" in that their offices and practices are in facilities that are attached to a teaching institution and or hospital. In my own personal experience I underwent the PVP procedure in August and my urologist is the Director of Prostate Center at NY Presbyterian Hospital which is part of Cornell/Weill Medical College. The surgery was done in the Ambulatory Surgical Center in the hospital and I was admitted for overnight because of other medical reasons and the fact that my prostate was at the outer limits in size. It would be my "guess" that urologists who will do this procedure in an outpatient, office setting would have to have an operating suite equipped exactly as in a hospital setting. Also it would have to be a selective process determining whether or not a patient will require an overnight stay. Personally, I would be more akin to having the PVP procedure done in a hospital setting just as I did. As an aside if you are contemplating having this done select a urologist who is very well qualified (has done many PVP's). That is why I chose Alexis Te, because he has done a few hundred procedures and is a teacher of the procedure and trains other urologists in courses being sponsered by Laserscope. It was a fantastic experience, no side effects and my "plumbing" is working like it did when I was 30 years younger. I think the future of this company is brighter than ever.