Fundus Photography
AMBETTER-CP.VP.29
This policy covers fundus photography as a diagnostic imaging procedure to document and guide management of ocular diseases such as diabetic retinopathy, glaucoma, macular pathology, retinal tears/detachments, optic nerve pathology, hereditary retinal dystrophies, and other visible retinal disorders. Coverage is limited to cases where photographic documentation is necessary for ongoing management (teleretinal imaging is allowed only for diabetic retinopathy screening in non‑compliant patients); routine replacement of dilated fundus exam, duplicative or repeated imaging for stable disease, and general screening (except specified teleretinal use) are not covered.
"Histoplasmosis"
Sign up to see full coverage criteria, indications, and limitations.