Intraocular lens (IOL) implants
Defines medical necessity, exclusions, replacement indications, and coding for intraocular lens (IOL) implants (standard monofocal and premium/other IOL types) for Cigna-administered health benefit plans. Applies to surgical implantation and replacement of IOLs and lists covered and not-covered diagnosis and procedure codes.
Added policy statement for standard monofocal intraocular lens.
Revised policy statement for premium intraocular lens.
Removed policy statement for intraocular lens implant following clear lens extraction.
Annual review with no clinical policy statement changes.