Transcription of Vision Services, Therapy and Rehabilitation
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Vision Services, Therapy and Rehabilitation
UnitedHealthcare Medicare Advantage Coverage Summary Vision Services, Therapy and Rehabilitation Policy Number: Approval Date: August 17, 2021 Instructions for Use Table of Contents Page Related Medicare Advantage Policy Guidelines Coverage Guidelines .. 1 Computer Enhanced Perimetry (NCD ). Eye Examination .. 2 Corneal Topography Services of an Optometrist and/or Ophthalmologist .. 2. Endothelial Cell Photography (NDC ). Frames and Lenses .. 2. Hydrophilic Contact Lenses (NCD ). Vision Therapy .. 4. Annual Diabetic Retinal Examination .. 4 Hydrophilic Contact Lens For Corneal Bandage Glaucoma Screening .. 4 (NCD ). Scanning Computerized Ophthalmic Diagnostic Intraocular Photography (NCD ).
Note: Routine physical checkups; eyeglasses, contact lenses, and eye examinations for the purpose of prescribing, fitting, or changing eyeglasses; eye refractions by whatever practitioner and for whatever purpose performed; hearing aids and examinations for hearing aids; and immunizations are not covered.
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