Updates to Necessary Contact Lens Diagnosis Code Criteria Effective May 1

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Effective May 1, 2021, keratitis and corneal ulcers diagnosis codes (H16.001 - H16.079) will be removed from the list of payable diagnoses for necessary contact lens claims for VSP patients. As part of a standard policy review conducted by the VSP Quality Management Committee, it was determined that keratitis diagnosis codes associated with acute corneal infections or ulcers do not require contact lenses for treatment.

For detailed information on approved diagnosis codes for necessary contact lenses, please refer to the “Contact Lens Benefit” section of the Provider Reference Manual on VSPOnline at eyefinity.com.

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