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[8-K] Sight Sciences, Inc. Reports Material Event

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Sight Sciences announced that two Medicare Administrative Contractors, Novitas and FCSO, established jurisdiction-wide pricing for CPT 0563T, which describes the TearCare procedure. The Medicare fee schedule amount is $1,141.59, effective for dates of service on and after January 1, 2025, across all Novitas and FCSO jurisdictions.

The local fee schedules are active for claim processing and are expected to be posted on the Novitas and FCSO websites. TearCare claims in these areas will be payable based on individual medical necessity determinations. The regions covered by these MACs have an estimated 10.4 million total covered lives. The company also posted an investor presentation and plans to provide updated revenue and adjusted operating expenses guidance during its third quarter 2025 earnings call.

Sight Sciences ha annunciato che due Medicare Administrative Contractors, Novitas e FCSO, hanno stabilito prezzi su giurisdizione per CPT 0563T, che descrive la procedura TearCare. L'importo del calendario delle tariffe Medicare è di $1,141.59, efficace per date di servizio a partire dal 1 gennaio 2025, in tutte le giurisdizioni di Novitas e FCSO.

Le tariffe locali sono attive per l'elaborazione dei reclami e dovrebbero essere pubblicate sui siti web di Novitas e FCSO. I reclami TearCare in queste aree saranno pagabili sulla base di singole determinazioni di necessità medica. Le regioni coperte da questi MAC hanno una stima di 10,4 milioni di vite coperte. L'azienda ha anche pubblicato una presentazione agli investitori e prevede di fornire una guida aggiornata sui ricavi e sulle spese operative rettificate durante la sua chiamata sugli utili del terzo trimestre 2025.

La empresa anunció que dos Contratistas Administrativos de Medicare, Novitas y FCSO, establecieron precios a nivel de jurisdicción para CPT 0563T, que describe el procedimiento TearCare. El monto del cronograma de tarifas de Medicare es de $1,141.59, vigente para fechas de servicio a partir del 1 de enero de 2025, en todas las jurisdicciones de Novitas y FCSO.

Los cronogramas de tarifas locales están activos para el procesamiento de reclamos y se espera que se publiquen en los sitios web de Novitas y FCSO. Los reclamos TearCare en estas áreas serán pagaderos basados en determinaciones de necesidad médica individual. Las regiones cubiertas por estos MACs tienen un total estimado de 10,4 millones de vidas cubiertas. La empresa también publicó una presentación para inversionistas y planea proporcionar una guía actualizada de ingresos y gastos operativos ajustados durante la conferencia de resultados del tercer trimestre 2025.

Sight Sciences는 두 Medicare 관리 계약자, Novitas와 FCSO가 CPT 0563T에 대한 관할권 전역 가격 책정을 확립했다고 발표했습니다. 이 CPT는 TearCare 절차를 설명합니다. Medicare 요금 표 금액은 $1,141.59이며, 2025년 1월 1일 이후의 서비스 날짜에 대해 Novitas 및 FCSO의 모든 관할 구역에서 적용됩니다.

지역 요금표는 청구 처리에 유효하며 Novitas와 FCSO 웹사이트에 게시될 예정입니다. 이 지역 TearCare 청구는 개별 의학적 필요성 판단에 따라 지급될 것입니다. 이 MAC들이 커버하는 지역은 총 10.4백만명의 커버된 생명이 추정됩니다. 회사는 또한 투자자 프리젠테이션을 게시했고 2025년 3분기 실적 발표 중 매출 전망 및 조정된 영업비용 가이던스를 제공할 계획이라고 밝혔습니다.

Sight Sciences a annoncé que deux Contractants administratifs Medicare, Novitas et FCSO, ont établi des tarifs à l'échelle de la juridiction pour le CPT 0563T, qui décrit la procédure TearCare. Le montant du calendrier des tarifs Medicare est de 1 141,59 dollars, applicable pour les dates de service à partir du 1er janvier 2025, dans toutes les juridictions de Novitas et FCSO.

Les grilles tarifaires locales sont actives pour le traitement des réclamations et devraient être publiées sur les sites Web de Novitas et FCSO. Les réclamations TearCare dans ces zones seront remboursables sur la base de déterminations de nécessité médicale individuelle. Les régions couvertes par ces MACs comptent environ 10,4 millions de bénéficiaires couverts. L'entreprise a également publié une présentation destinée aux investisseurs et prévoit de fournir des prévisions de revenus et de dépenses opérationnelles ajustées lors de son appel sur les résultats du troisième trimestre 2025.

Sight Sciences gab bekannt, dass zwei Medicare Administrative Contractors, Novitas und FCSO, eine landesweite Preisgestaltung für CPT 0563T festgelegt haben, die das TearCare-Verfahren beschreibt. Der Medicare-Gebührenplan-Betrag beträgt 1.141,59 USD und gilt für Leistungsdaten ab dem 1. Januar 2025 in allen Novitas- und FCSO-Jurisdiktionen.

Die lokalen Gebührenpläne sind für die Abwicklung von Ansprüchen aktiv und werden voraussichtlich auf den Websites von Novitas und FCSO veröffentlicht. TearCare-Anträge in diesen Bereichen werden basierend auf individuellen medizinischen Notwendigkeitsfeststellungen zahlbar sein. Die von diesen MACs abgedeckten Regionen haben schätzungsweise 10,4 Millionen versicherte Lives. Das Unternehmen hat außerdem eine Investorenpräsentation veröffentlicht und plant, während des Gewinnaufrufs im dritten Quartal 2025 aktualisierte Umsatz- und bereinigte Betriebskosten-Guidance bereitzustellen.

أعلنت شركة Sight Sciences أن اثنين من مقاولين إداريين للضمان الصحي التابعين لـ Medicare، Novitas و FCSO، وضعوا تسعيرًا على مستوى الولاية لـ CPT 0563T الذي يصف إجراء TearCare. مقدار جدول رسوم Medicare هو 1,141.59 دولار، ويسري اعتبارًا من تواريخ الخدمة اعتبارًا من 1 يناير 2025، عبر جميع الولايات القضائية لـ Novitas و FCSO.

جداول الرسوم المحلية نشطة لمعالجة المطالبات ومن المتوقع نشرها على مواقع Novitas و FCSO. ستُدفع مطالبات TearCare في هذه المناطق بناءً على قرارات الاحتياج الطبي الفردية. المناطق المغطاة بواسطة هذه MACs تضم تقديريًا 10.4 مليون حالة حية مغطاة. كما نشرت الشركة عرضًا للمستثمرين وتخطط لتقديم توجيهات محدثة للإيرادات والصادرات التشغيلية المعدلة خلال مكالمة أرباحها للربع الثالث من عام 2025.

Sight Sciences 公布,两家 Medicare 行政承包商 Novitas 和 FCSO 已就 CPT 0563T(TearCare 手术)确立了全辖区定价。Medicare 费率表金额为 $1,141.59,自 2025 年 1 月 1 日及以后服务日期在所有 Novitas 与 FCSO 辖区内生效。地方费率表用于索赔处理,预计将在 Novitas 与 FCSO 网站上公布。

此区域的 TearCare 索赔将基于个体医疗必要性判定而支付。由这些 MAC 覆盖的地区估计共有 1,040 万个受保人。公司还发布了投资者报告,并计划在 2025 年第三季度业绩电话会议上提供更新的收入和调整后运营支出指引。

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Insights

Medicare pricing set at $1,141.59 for TearCare in Novitas/FCSO areas from Jan 1, 2025.

Two MACs—Novitas and FCSO—have established jurisdiction-wide pricing for CPT 0563T, the code describing TearCare. The Medicare fee schedule amount is $1,141.59 effective for services on and after January 1, 2025. Local fee schedules are active for processing and expected to be posted for provider reference.

Claims will be payable based on individual medical necessity determinations, which means utilization depends on clinical documentation and coverage criteria. The covered regions include an estimated 10.4 million total covered lives, indicating sizable addressable Medicare populations in these jurisdictions.

The company plans to provide updated revenue and adjusted operating expenses guidance during its Q3 2025 earnings call. Actual impact will depend on provider adoption and claim approvals within these MAC regions.

Sight Sciences ha annunciato che due Medicare Administrative Contractors, Novitas e FCSO, hanno stabilito prezzi su giurisdizione per CPT 0563T, che descrive la procedura TearCare. L'importo del calendario delle tariffe Medicare è di $1,141.59, efficace per date di servizio a partire dal 1 gennaio 2025, in tutte le giurisdizioni di Novitas e FCSO.

Le tariffe locali sono attive per l'elaborazione dei reclami e dovrebbero essere pubblicate sui siti web di Novitas e FCSO. I reclami TearCare in queste aree saranno pagabili sulla base di singole determinazioni di necessità medica. Le regioni coperte da questi MAC hanno una stima di 10,4 milioni di vite coperte. L'azienda ha anche pubblicato una presentazione agli investitori e prevede di fornire una guida aggiornata sui ricavi e sulle spese operative rettificate durante la sua chiamata sugli utili del terzo trimestre 2025.

La empresa anunció que dos Contratistas Administrativos de Medicare, Novitas y FCSO, establecieron precios a nivel de jurisdicción para CPT 0563T, que describe el procedimiento TearCare. El monto del cronograma de tarifas de Medicare es de $1,141.59, vigente para fechas de servicio a partir del 1 de enero de 2025, en todas las jurisdicciones de Novitas y FCSO.

Los cronogramas de tarifas locales están activos para el procesamiento de reclamos y se espera que se publiquen en los sitios web de Novitas y FCSO. Los reclamos TearCare en estas áreas serán pagaderos basados en determinaciones de necesidad médica individual. Las regiones cubiertas por estos MACs tienen un total estimado de 10,4 millones de vidas cubiertas. La empresa también publicó una presentación para inversionistas y planea proporcionar una guía actualizada de ingresos y gastos operativos ajustados durante la conferencia de resultados del tercer trimestre 2025.

Sight Sciences는 두 Medicare 관리 계약자, Novitas와 FCSO가 CPT 0563T에 대한 관할권 전역 가격 책정을 확립했다고 발표했습니다. 이 CPT는 TearCare 절차를 설명합니다. Medicare 요금 표 금액은 $1,141.59이며, 2025년 1월 1일 이후의 서비스 날짜에 대해 Novitas 및 FCSO의 모든 관할 구역에서 적용됩니다.

지역 요금표는 청구 처리에 유효하며 Novitas와 FCSO 웹사이트에 게시될 예정입니다. 이 지역 TearCare 청구는 개별 의학적 필요성 판단에 따라 지급될 것입니다. 이 MAC들이 커버하는 지역은 총 10.4백만명의 커버된 생명이 추정됩니다. 회사는 또한 투자자 프리젠테이션을 게시했고 2025년 3분기 실적 발표 중 매출 전망 및 조정된 영업비용 가이던스를 제공할 계획이라고 밝혔습니다.

Sight Sciences a annoncé que deux Contractants administratifs Medicare, Novitas et FCSO, ont établi des tarifs à l'échelle de la juridiction pour le CPT 0563T, qui décrit la procédure TearCare. Le montant du calendrier des tarifs Medicare est de 1 141,59 dollars, applicable pour les dates de service à partir du 1er janvier 2025, dans toutes les juridictions de Novitas et FCSO.

Les grilles tarifaires locales sont actives pour le traitement des réclamations et devraient être publiées sur les sites Web de Novitas et FCSO. Les réclamations TearCare dans ces zones seront remboursables sur la base de déterminations de nécessité médicale individuelle. Les régions couvertes par ces MACs comptent environ 10,4 millions de bénéficiaires couverts. L'entreprise a également publié une présentation destinée aux investisseurs et prévoit de fournir des prévisions de revenus et de dépenses opérationnelles ajustées lors de son appel sur les résultats du troisième trimestre 2025.

Sight Sciences gab bekannt, dass zwei Medicare Administrative Contractors, Novitas und FCSO, eine landesweite Preisgestaltung für CPT 0563T festgelegt haben, die das TearCare-Verfahren beschreibt. Der Medicare-Gebührenplan-Betrag beträgt 1.141,59 USD und gilt für Leistungsdaten ab dem 1. Januar 2025 in allen Novitas- und FCSO-Jurisdiktionen.

Die lokalen Gebührenpläne sind für die Abwicklung von Ansprüchen aktiv und werden voraussichtlich auf den Websites von Novitas und FCSO veröffentlicht. TearCare-Anträge in diesen Bereichen werden basierend auf individuellen medizinischen Notwendigkeitsfeststellungen zahlbar sein. Die von diesen MACs abgedeckten Regionen haben schätzungsweise 10,4 Millionen versicherte Lives. Das Unternehmen hat außerdem eine Investorenpräsentation veröffentlicht und plant, während des Gewinnaufrufs im dritten Quartal 2025 aktualisierte Umsatz- und bereinigte Betriebskosten-Guidance bereitzustellen.

0001531177false00015311772025-10-172025-10-17

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): October 17, 2025

 

 

Sight Sciences, Inc.

(Exact name of Registrant as Specified in Its Charter)

 

 

Delaware

001-40587

80-0625749

(State or Other Jurisdiction
of Incorporation)

(Commission File Number)

(IRS Employer
Identification No.)

 

 

 

 

 

4040 Campbell Avenue

Suite 100

 

Menlo Park, California

 

94025

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s Telephone Number, Including Area Code: 877 266-1144

 

N/A

(Former Name or Former Address, if Changed Since Last Report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:


Title of each class

 

Trading
Symbol(s)

 


Name of each exchange on which registered

Common Stock, $0.001 par value per share

 

SGHT

 

The Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 


Item 7.01 Regulation FD Disclosure.

On October 17, 2025, Sight Sciences, Inc. (the “Company”) issued a press release announcing the establishment of jurisdiction-wide pricing for CPT® code 0563T, which describes the procedure performed with the TearCare® System and related accessories (“TearCare”), by Novitas Solutions, Inc. (“Novitas”) and First Coast Service Options, Inc. (“FCSO”). A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K (this “Current Report”).

On October 17, 2025, the Company posted an investor presentation to its website at https://investors.sightsciences.com/. The Company expects to use this investor presentation, in whole or in part, and possibly with modifications, in connection with presentations to investors, analysts, and others. A copy of this investor presentation is furnished as Exhibit 99.2 to this Current Report.

The Company plans to provide updated revenue and adjusted operating expenses guidance during its third quarter 2025 earnings call, taking into account the factors discussed in this Current Report.*

Item 8.01 Other Events.

Two Medicare Administrative Contractors (“MACs”), Novitas and FCSO, each established jurisdiction-wide pricing for CPT code 0563T (evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual expression, bilateral), which describes the procedure performed with the Company’s TearCare® System and related accessories (TearCare). The Medicare fee schedule amount of $1,141.59 is effective for dates of service on and after January 1, 2025, in all Novitas and FCSO jurisdictions and localities.

The established local fee schedule is active for claim processing and is expected to be published on the Novitas and FCSO websites for reference by eyecare providers in these areas. TearCare procedure claims will be payable by First Coast and Novitas in the areas administered by them based on individual medical necessity determinations. The states and regions covered by these two MACs have 10.4 million in estimated total covered lives1.

The Company plans to continue to engage with third-party payors, the clinical societies, and other stakeholders in continued support of patient access for interventional meibomian gland disease procedures performed with the TearCare System.

1 Covered lives estimate is derived from publicly available information and includes Medicare fee for service and Medicare fee for service - Medicaid Dual-Eligible beneficiaries.

 

Cautionary Note Regarding Forward-Looking Statements

This Current Report, together with other statements and information publicly disseminated by the Company, contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), which statements are subject to considerable risks and uncertainties. The Company intends such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995 and includes this statement for purposes of complying with these safe harbor provisions. Any statements made in this Current Report that are not statements of historical fact, including statements about the Company’s beliefs and estimates, are forward-looking statements and should be evaluated as such. These forward-looking statements include, but are not limited to, statements regarding the effective date of the MAC fee schedules; the basis for payment of procedures billed under CPT 0563T; the Company’s expectation that the established local fee schedules will be published on the Novitas and FCSO websites for reference by eyecare providers; the Company’s intent to continue to engage with third-party payors, clinical societies, and other stakeholders regarding patient access for the TearCare procedure; and the Company’s plan to provide updated revenue and adjusted operating expenses guidance during its third quarter 2025 earnings call. Such statements often include words such as “anticipate,” “expect,” “suggests,” “plan,” “believe,” “intend,” “designed,” “seeks,” “estimates,” “targets,” “projects,” “should,” “could,” “would,” “may,” “will,” “forecast” and other similar expressions. The Company bases these forward-looking statements on management’s current expectations, plans and assumptions that it has made in light of its experience in the industry, as well as its perceptions of historical trends, current conditions, expected future developments and other factors management believes are appropriate under the circumstances at such time. Although management believes these forward-looking statements are based upon reasonable assumptions at the time they are made, it cannot guarantee their accuracy or completeness. Forward-looking statements are subject to and involve risks, uncertainties and assumptions that may cause the Company’s actual results, performance or achievements to be materially different from any future results, performance, or achievements predicted, assumed or implied by such forward-looking statements, including the important factors discussed under the caption “Risk Factors” in the Company’s filings with the U.S. Securities and Exchange Commission, as may be updated from time to time in subsequent filings. These cautionary statements should not be construed by you to be exhaustive and are made only as of the date of this Current Report. The Company undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as required by applicable law.

TearCare® is a registered trademark of Sight Sciences, Inc. CPT® is a registered trademark of the American Medical Association.


Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

Exhibit No.

Description

99.1

Press Release, dated October 17, 2025

99.2

Investor Presentation dated October 2025

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

* The information in Item 7.01 and Exhibit 99.1 of this Current Report shall not be deemed “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section, nor shall it be deemed to be incorporated by reference into any filing of the Company under the Securities Act or Exchange Act, except as expressly set forth by specific reference in such filing.

 

 

 


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

Sight Sciences, Inc.

 

 

 

 

Date:

October 17, 2025

By:

/s/ Alison Bauerlein

 

 

 

Chief Financial Officer

 


FAQ

What did SGHT announce about TearCare reimbursement?

Novitas and FCSO set jurisdiction-wide Medicare pricing for CPT 0563T, the TearCare procedure, at $1,141.59 effective January 1, 2025.

When does the $1,141.59 Medicare fee for CPT 0563T take effect?

It applies to dates of service on and after January 1, 2025 in all Novitas and FCSO jurisdictions.

Which regions are covered by the Novitas and FCSO decision for SGHT's TearCare?

All jurisdictions administered by Novitas and FCSO, covering an estimated 10.4 million total covered lives.

Are TearCare claims automatically payable under this pricing?

Claims are payable based on individual medical necessity determinations by Novitas and FCSO.

Where can providers find the local fee schedules for CPT 0563T?

They are expected to be published on the Novitas and FCSO websites; the schedules are active for claim processing.

Did SGHT provide updated financial guidance?

The company plans to provide updated revenue and adjusted operating expenses guidance during its Q3 2025 earnings call.

Did SGHT release any supporting materials?

Yes. A press release and an investor presentation were furnished, with the presentation also posted on the company’s investor website.
Sight Sciences, Inc.

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