This article applies to NC Medicaid Direct and NC Medicaid Managed Care.
North Carolina Medicaid is announcing coverage of the following Current Procedural Terminology (CPT) Code:
- 67516 Suprachoroidal space injection of pharmacologic agent (separate procedure).
Note that 67516 does not include the supply of medication; the applicable pharmacologic agent should be reported separately. This coverage change is retroactive to April 1, 2025.
Contact
NCTracks Call Center: 1-800-688-6696
NC Medicaid Managed Care Health Plans