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Cigna currently covers a standard monofocal intraocular lens implant as medically necessary to meet the basic functional needs of an individual who undergoes removal of the crystalline lens as part of cataract surgery.  Beginning May 21, 2012 Cigna will update their Intraocular Lens Coverage Policy for the following intraocular lens implants and professional services.  Additional information is available on Cigna’s secure website for Health Care Professionals.

CPT/HCPCS Code	Description of Service	Policy Updates Effective May 21, 2012
66985	Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal	Remove coverage when used to report the implantation of a non-covered lens or when performed for a non-covered indication.
66986	Exchange of intraocular lens	Remove coverage when used to report the implantation of a non-covered lens or when performed for a non-covered indication.
C1780	Lens, intraocular (new technology)	Remove coverage when implanted for disorders of refraction or accommodation. Treatment of refractive errors is not considered medically necessary.
Q1003	New technology intraocular lens category three (reduced spherical aberration)	Remove coverage when implanted for disorders of refraction or accommodation. Treatment of refractive errors is not considered medically necessary.
V2630	Anterior chamber intraocular lens	Remove coverage when implanted for disorders of refraction or accommodation. Treatment of refractive errors is not considered medically necessary.
V2631	Iris supported intraocular lens	Remove coverage when implanted for disorders of refraction or accommodation. Treatment of refractive errors is not considered medically necessary.
V2632	Posterior chamber intraocular lens	Remove coverage when implanted for disorders of refraction or accommodation. Treatment of refractive errors is not considered medically necessary.
V2787	Astigmatism correcting function of intraocular lens	Remove coverage. These lens implants are premium lenses, and are not considered medically necessary.
V2788	Presbyopia correcting function of intraocular lens	Remove coverage. These lens implants are premium lenses, and are not considered medically necessary.

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