In products where members are able to self-refer to providers for care and services, members are advised to use participating providers in order to receive the highest level of benefits.When services can be administered in various settings, the Company reserves the right to reimburse only those services that are furnished in the most appropriate and cost-effective setting that is appropriate to the member’s medical needs and condition. This decision is based on the member’s current medical condition and any required monitoring or additional services that may coincide with the delivery of this service.
For more information on how Claim Payment Policy Bulletins are developed, go to the About This Site section of this Medical Policy Web site.
H52.201 Unspecified astigmatism, right eye
H52.202 Unspecified astigmatism, left eye
H52.203 Unspecified astigmatism, bilateral
H52.209 Unspecified astigmatism, unspecified eye
H52.211 Irregular astigmatism, right eye
H52.212 Irregular astigmatism, left eye
H52.213 Irregular astigmatism, bilateral
H52.219 Irregular astigmatism, unspecified eye
H52.221 Regular astigmatism, right eye
H52.222 Regular astigmatism, left eye
H52.223 Regular astigmatism, bilateral
H52.229 Regular astigmatism, unspecified eye