regulatory
confidence high
sentiment positive
materiality 0.75
Sight Sciences: Draft Medicare LCDs propose no coverage restrictions for OMNI and SION
Sight Sciences, Inc.
- Five MACs published draft LCDs on MIGS not proposing specific coverage criteria for OMNI (canaloplasty+trabeculotomy) or SION (goniotomy).
- These procedures would remain eligible for Medicare in states covering 62% of Sight Sciences' 2023 Surgical Glaucoma revenue.
- Draft LCDs propose non-coverage when an aqueous shunt/stent is performed with a MIGS procedure in the same eye at same time.
- 45-day comment period; finalization within 365 days. Company plans to engage with MACs, CMS, and clinical societies.