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Billing and Coding: Visual Field Examination
A57637
First Coast Service Options, Inc. (J09)
Effective: October 1, 2025
Updated: December 31, 2025
See LCD L33766Policy Summary
Coverage for visual field examinations is permitted when the service is reasonable and necessary as defined by LCD L33766. Providers must maintain complete, legible medical records that support selected ICD-10-CM and CPT/HCPCS codes, include a responsible clinician's signature, and include an ordering physician's statement of clinical indication/medical necessity; non-covered services must not be billed as covered and require the appropriate modifier when billed.
Coverage Criteria Preview
Key requirements from the full policy
"Visual field examinations are covered when reasonable and necessary as defined by Local Coverage Determination (LCD) L33766."
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