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Approval Date: October 10, 2018 - UHCprovider.com Home

Retinal Prosthesis Page 1 of 3 UnitedHealthcare Medicare Advantage Policy Guideline Approved 08/12/2020 Proprietary Information of UnitedHealthcare. Copyright 2020 United HealthCare Services, Inc. RETINAL PROSTHESIS Guideline Number: Approval Date: August 12, 2020 Table of Contents Page POLICY SUMMARY .. 1 APPLICABLE CODES .. 1 PURPOSE .. 2 REFERENCES .. 2 GUIDELINE HISTORY/REVISION INFORMATION .. 2 TERMS AND CONDITIONS .. 2 POLICY SUMMARY Overview An electronic retinal prosthesis is implanted to restore some lost vision and create visual perception by electronically stimulating the retina.

Retinal Prosthesis Page 1 of 3 UnitedHealthcare Medicare Advantage Policy Guideline Approved 10/10/2018 Proprietary Information of UnitedHealthcare.

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