Who is affected by this change?

This affects Independence Blue Cross Ophthalmology providers on Commercial plans.

When does this change take effect?

This change is effective Feb 24, 2025.

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CommercialCoverageLow impact

05.00.83, Eye Prostheses and Scleral Cover Shell

Independence Blue Cross·Ophthalmology·Medical Policy

Effective date

Feb 24, 2025

We identified it

Jun 19, 2026

Days to comply

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Summary

A new medical policy (05.00.83) covering Eye Prostheses and Scleral Cover Shell has been introduced for commercial insurance plans. This establishes coverage guidelines and billing requirements for artificial eye devices and protective scleral shells.

Action Required

Action needed

By February 24, 2025: Billing team should review the full policy details at the provided URL to understand coverage criteria and documentation requirements for eye prostheses and scleral cover shells. Update billing procedures and prior authorization workflows as specified in the complete policy.

Related policy hubs

Independence Blue Cross policies Ophthalmology