CommercialCoverageLow impact
05.00.83, Eye Prostheses and Scleral Cover Shell
Independence Blue Cross·Ophthalmology, Plastic Surgery·Medical Policy
Effective date
Feb 24, 2025
We identified it
Jun 19, 2026
Summary
A new medical policy for Eye Prostheses and Scleral Cover Shell has been created and will take effect February 24, 2025. This establishes coverage guidelines for prosthetic eye devices and protective shells used to cover damaged or missing eyes.
Action Required
Before February 24, 2025: Billing team should review the full policy document at the provided URL to understand coverage criteria, billing requirements, and documentation needs for eye prostheses and scleral cover shells. Update billing procedures and staff training materials accordingly.