Visual Information Processing Evaluation and Orthoptic and Vision Therapy (for Ohio Only)
Clinical policy governing orthoptic (vision) therapy, visual information processing evaluation, and remote/digital therapies for amblyopia and convergence insufficiency for the state of Ohio; affects providers and members in Ohio requesting these services.
Revised list of proven and medically necessary indications; removed occlusion therapy or pharmacologic penalization therapy for treating amblyopia and removed prism adaptation therapy for treating esotropia.
Revised list of unproven and not medically necessary indications; removed virtual perception therapy for learning disability and vision restoration therapy for visual field deficits following stroke or neurotrauma, and removed visual information processing evaluation to diagnose learning disabilities.
Removed CPT code 92499 from Applicable Codes.
Removed definitions for Occlusion Therapy, Pharmacologic Penalization Therapy, Prism Adaptation Therapy, and Vision Restoration Therapy (VRT).
Updated Description of Services, Clinical Evidence, and References sections to reflect the most current information.
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