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Ophthalmology

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Indicates Non-Covered Service

Aflibercept ( Eylea )

Allergy Ophthalmics

(Alocril,

Alomide,

Bepotastine,

Bepreve,

Elestat,

Emadine,

Lastacaft,

Patanol, Pataday, & Zerviate)

Allergy

Testing

Eye

Amniotic Membrane & Limbal Stem Cell Transplantation for the Treatment of Ocular Conditions

Amniotic Membrane- Sutureless Placement on the Ocular Surface

Anesthesia for Cataract Surgery

Anterior Segment Aqueous Drainage Device

-Medicare-

Special Anterior Segment Photography

Aqueous Shunts & Stents for Glaucoma

Artificial Retina

Intravitreal Bevacizumab (Avastin®)

AzaSite (azithromycin ophthalmic solution)

-FloridaBlue-

Intravitreal Bevacizumab (Avastin®)

Blepharoplasty, Eyelid Surgery, & Brow Lift

Canaloplasty

-FloridaBlue-

Canthoplasty/canthopexy (CPT) & Repair of Floppy Eyelid Syndrome (FES)

Canthoplasty

Cataract Removal Surgery

Computerized Corneal Topography

Corneal Collagen Cross-Linking

Corneal Pachymetry

-FloridaBlue-

Dark Adaptation Examination

Dexamethasone Intracanalicular Ophthalmic Insert

Dry Eye Disease ( DED ) - Diagnostic Evaluation & Medical Management of Moderate-Severe

Electroretino-graphy

-FloridaBlue-

Electroretino-graphy (ERG)

-Medicare-

Endothelial Keratoplasty

Endothelial Keratoplasty and Corneal Collagen Cross-Linking

Endothelial

Cell

Photography

Extended Ophthalmoscopy

External Ocular Photography

Fludarabine (Fludara)

Fluorescein Angiography

Fundus Photography

Micro-Invasive Glaucoma Surgery (MIGS)

-Medicare-

Graves' Ophthal-mopathy Treatments

-Aetna-

This sub-section has no entries at this time.

Implantable Miniature Telescope (IMT)

Implanted Artificial Iris Devices

Implanted Port Delivery Systems to Treat Ocular Disease

Indocyanine-Green Angiography

Intraocular Lens (IOL) Implants

-Humana-

Implantation of Intrastromal Corneal Ring Segments

-Anthem-

-FloridaBlue-

This sub-section has no entries at this time.

Keratopros-thesis

Keratoconus Surgical Treatments

-Humana-

Lacrimal Punctal Plugs

Laser Trabeculoplasty

Laser Trabeculoplasty & Peripheral Iridotomy

Laser Vitreolysis

-FloridaBlue-

Macular Degeneration Treatment Procedures

Nasal Punctum-Nasolacrimal Duct Dilation & Probing with or without Irrigation

Ocular Photodynamic Therapy (OPT) with Verteporfin

Ophthalmic Biometry for Intraocular Lens Power Calculation

Ophthalmoscopy

Optical Coherence Biometry

Panretinal (Scatter) Laser Photocoag-ulation

Photo-

coagulation Macular Drusen

-FloridaBlue-

Presbyopia & Astigmatism-Correcting Intraocular Lenses

Prosthetic Eyes & Lens Implants

-FloridaBlue-

This sub-section has no entries at this time.

Refractive Surgery

Retisert (fluocinolone acetonide intravitreal implant)

Anterior Segment Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Posterior Segment Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)

Scanning Computerized Ophthalmic Diagnostic Imaging

-FloridaBlue-

Surgical

Strabismus Correction

This sub-section has no entries at this time.

Visual Fields

Testing

Visual Information Processing Evaluation & Orthoptic & Vision Therapy

Vitrectomy

This sub-section has no entries at this time.