TMPPM 2008 > Texas Medicaid Services > Vision Care (Optometrists, Opticians) > Benefits and Limitations

   
 

45.4.7 Prosthetic Eyeglasses and Contacts

Services for prosthetic eyewear must be billed with a diagnosis of aphakia (37931 or 74335) to be considered for reimbursement. Contact lenses require prior authorization unless billed with a diagnosis of aphakia.


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