Anthem Blue Cross Connecticut MED.00145 Digital Therapy Devices for Treatment of Amblyopia Form
Procedure is not covered
This document addresses digital therapy devices for the treatment of amblyopia. These devices incorporate dichoptic (viewing a separate and independent field through each eye) presentations to improve visual acuity of individuals with amblyopia.
Position Statement
Investigational and Not Medically Necessary:
Digital therapy devices for treatment of amblyopia are considered investigational and not medically necessary.