CurrentCareFirstPolicy N/A
Lactoferrin Tear Microassay for Dry Eye Syndrome
States coverage stance for the lactoferrin tear microassay, a diagnostic test measuring tear lactoferrin for dry eye syndrome. Indicates the policy is archived (no longer scheduled for review) but remains in effect.
Policy Summary
PayerCareFirst
PolicyLactoferrin Tear Microassay for Dry Eye Syndrome
Policy CodePolicy N/A
Change Typeclarified / archived
Effective DateN/A
Next Review DateN/A
Key ActionCoverage will vary by contract and line of business; providers must verify benefits before applying the policy.
POLICY UPDATE CHANGES
Policy archived as of 2001-05-24 and is no longer scheduled for review but remains in effect.
1Covered Indication (dry eye syndrome)
archivedPolicy status
Coverage Summary
Coverage stance: covered_with_criteria. The lactoferrin tear microassay is considered medically necessary when used to diagnose dry eye syndrome and provide information regarding tear production. Policy status: archived — the policy was archived on 05/24/2001 but remains in effect and is no longer scheduled for review. Covered indication: Dry eye syndrome.