Payer PolicyActive
Laser Photocoagulation of Drusen
AETNA-CPB-0609
Aetna
Effective: September 8, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna excludes laser photocoagulation (including sub‑threshold) of macular drusen for prevention or treatment of age‑related macular degeneration as experimental and investigational and therefore not covered (CPT 67220 and the listed ICD‑10 codes are not covered for these indications). Prophylactic sub‑threshold diode laser is specifically not supported because randomized trials show no clinical benefit and a higher risk of choroidal neovascularization.
Coverage Criteria Preview
Key requirements from the full policy
"None. (This Clinical Policy Bulletin addresses laser photocoagulation of drusen and finds the procedure experimental and investigational for the prevention and treatment of age-related macular dege..."
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