Payer PolicyActive
DME.00048 Virtual Reality-Assisted Therapy Systems
ANTHEM-DME.00048
Anthem
Effective: July 1, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses virtual reality (VR)-assisted systems (immersive or non-immersive; passive or interactive) used for screening, diagnosis, or treatment of health conditions. Anthem considers VR-assisted therapy investigational and not medically necessary for all indications; therefore, it is not covered. There are no covered indications or exceptions, and related claims (e.g., E1399, E1905) may be denied.
Coverage Criteria Preview
Key requirements from the full policy
"Use of virtual reality systems for screening, diagnosis, or treatment of a health condition is consideredinvestigational and not medically necessaryfor all indications."
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