Ocular Photoscreening

Aetna covers one ocular photoscreening (CPT 99174 or 99177 when selection criteria are met) as medically necessary for all children at age 3 and for children 4–5 only if they cannot cooperate with routine acuity testing, with positive/abnormal screens requiring referral for a comprehensive eye exam. Retinal birefringence scanning (CPT 0469T) and photoscreening for strabismus-related indications are considered experimental/not covered.

"Aetna considers one ocular photoscreening medically necessary for screening all children 3 years of age."

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