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Vitrectomy Chair/ Face-Down Positioning System 1.01.52

Excellus BlueCross BlueShield·Ophthalmology·Durable Medical Equipment & Supplies
Effective date
Apr 16, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Excellus BlueCross BlueShield now covers vitrectomy chairs/face-down positioning systems as medically appropriate following vitrectomy surgery when face-down positioning is required. Coverage is provided through rental only and should be billed using HCPCS code E1399.

Action Required

Action needed
By April 16, 2026: Billing team must update system to bill vitrectomy chairs and face-down positioning systems using HCPCS code E1399 for rental only (not purchase). Ensure documentation shows face-down positioning is required post-vitrectomy surgery. Train staff on covered diabetic retinopathy and retinal detachment diagnosis codes for proper claim submission.

Affected Billing Codes

E1399
E10.311
E11.311
E10.319
E11.319
E10.329
E11.329
E10.339
E11.339
E10.349
E11.349
E10.359
E11.359
H33.001
H33.009
H33.011
H33.019
H33.021
H33.029
H33.031
H33.039
H33.041
H33.049
H33.051
H33.059
H33.20
H33.23
H33.40
H33.43
H33.8
H35.351
H35.359
H35.371
H35.379
H35.721
H35.729
H35.731
H35.739
H35.81
H43.10
H43.13