Payer PolicyActive
MED.00137 Eye Movement Analysis Using Non-spatial Calibration for the Diagnosis of Concussion
ANTHEM-MED.00137
Anthem
Effective: July 1, 2025
Updated: December 30, 2025
Policy Summary
- Service: Eye movement analysis using non-spatial calibration as a diagnostic test for concussion (mild traumatic brain injury). - Coverage: Anthem deems this service investigational/experimental and not medically necessary; it is not covered for diagnosing concussion. - Limitations: No covered indications or exceptions are specified for any setting or patient population.
Coverage Criteria Preview
Key requirements from the full policy
"Eye movement analysis using non-spatial calibration is consideredinvestigational and not medically necessaryfor the diagnosis of concussion."
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