Payer PolicyActive
Behavioral Vision Therapy and Vision Restoration Therapy
AETNA-CPB-0321
Aetna
Effective: April 28, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Behavioral vision therapy (visual perceptual training) and vision restoration therapy (including when combined with tDCS) are considered experimental/investigational and are excluded from coverage for all indications — including visual perceptual dysfunctions and visual field deficits from ischemic optic neuropathy, neurotrauma, or stroke. No indications or CPT/HCPCS codes are covered because effectiveness has not been validated in well‑designed prospective clinical studies.
Coverage Criteria Preview
Key requirements from the full policy
"ICD-10 codes explicitly listed as 'not covered for indications listed in the CPB' (not an all-inclusive list): R49."
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