Payer PolicyActive
CG-SURG-41 Surgical Strabismus Correction
ANTHEM-CG-SURG-41
Anthem
Effective: January 30, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses surgical strabismus correction (eye muscle surgery) for adults (18 years and older). It is medically necessary when any of the following are present: diplopia, visual confusion, need to restore binocular vision, or intolerance of prism glasses or patch. The surgery is not covered when these criteria are not met or for any other indications.
Coverage Criteria Preview
Key requirements from the full policy
"AdultsSurgical strabismus correction for individuals 18 years of age or olderis consideredmedically necessaryforanyof the following:"
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