![]() ![]() Injury of conjunctiva and corneal abrasion without foreign bodyĮncounter for screening for eye and ear disorders ICD-10 codes not covered for indications listed in the CPB (not all inclusive):ĭegeneration of iris (pigmentary) Poisoning by antimalarials and drugs acting on other blood protozoa Penetrating wound with foreign body of eyeball Other specified congenital malformation syndromes affecting multiple systems Other and unspecified phakomatoses, not elsewhere classified Other congenital corneal malformations Ĭongenital anomalies of posterior segment of eye Glaucoma in diseases classified elsewhereĭisorders of optic nerve and visual pathwaysĬystoid macular edema following cataract surgery ![]() Retinal disorders in diseases classified elsewhere Neoplasm of unspecified behavior of retina and choroidĭisorders of aromatic amino-acid metabolismīenign intracranial hypertension Ĭhorioretinal disorders in diseases classified elsewhere Secondary malignant neoplasm of other and unspecified parts of nervous system ![]() Human immunodeficiency virus (HIV) disease ICD-10 codes covered if selection criteria are met: Codes requiring a 7th character are represented by "+":ĬPT codes covered if selection criteria are met:įundus photography with interpretation and report ĬPT codes not covered if selection criteria are met:Ĭomputer-aided animation and analysis of time series retinal images for the monitoring of disease progression, unilateral or bilateral, with interpretation and reportĮlectro-oculography with interpretation and report Information in the below has been added for clarification purposes. Table: CPT Codes / HCPCS Codes / ICD-10 Codes Code
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