Anthem Blue Cross ConnecticutCommercial Clinical Policy

MED.00131 Electronic Home Visual Field Monitoring Form

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Effective Date

01/03/2024

Last Reviewed

11/09/2023

Original Document

  Reference



This document addresses the use of electronic home visual field monitoring.

Position Statement

Investigational and Not Medically Necessary:

The use of electronic home visual field monitoring is considered investigational and not medically necessary for all indications.