CommercialAdministrativeLow impact
11.05.07d, Surgical Correction of Strabismus
Independence Blue Cross·Ophthalmology, Pediatrics·Medical Policy
We identified it
Jun 19, 2026
Summary
This is a reissue with no substantive changes to Independence Blue Cross's strabismus surgery coverage policy. The policy maintains existing medical necessity criteria for surgical correction of strabismus in children ≤10 years (all etiologies covered) and adults >10 years (coverage requires specific clinical criteria such as diplopia, abnormal head posture, visual confusion, depth perception impairment, failed conservative therapy, peripheral vision impairment, or psychosocial/vocational benefit). No billing code, documentation, or coverage criteria changes have been made.
Action Required
No immediate action required. This is a routine annual reissue with no changes to policy content, billing codes, medical necessity criteria, or documentation requirements. Billing team should verify their system reflects the current criteria for strabismus surgery coverage but no workflow modifications are needed. File the 07/22/2026 reissue for compliance records.