Anthem Blue Cross Connecticut Commercial Clinical Policy

Anthem Blue Cross Connecticut SURG.00061 Presbyopia and Astigmatism-Correcting Intraocular Lenses Form

Effective Date

04/12/2023

Last Reviewed

02/16/2023

Original Document

  Reference



This document addresses the use of presbyopia-correcting intraocular lenses and astigmatism-correcting intraocular lenses.

Note: Please see the following related document for additional information:

  • CG-SURG-77 Refractive Surgery

Position Statement

Not Medically Necessary:

The use of presbyopia-correcting intraocular lenses is considered not medically necessary for all indications.

The use of astigmatism-correcting intraocular lenses is considered not medically necessary for all indications.