La. Admin. Code tit. 50 § XVII-1501

Current through Register Vol. 50, No. 11, November 20, 2024

Section XVII-1501 - Introduction

A. Definitions

Artificial Eye or Ocular Prosthesis-a replacement for a missing or damaged, unsightly eye.

Full OcularProsthesis-used for individuals who have the globe removed allowing for the fitting of a regular artificial eye.

Related Services-include polishing or resurfacing of ocular prosthetics, enlargements or reductions of ocular prosthetics, and fabrication or fitting of ocular conformer.

Scleral Shell (or Shield)-

a. a custom-made, thin ocular prosthesis fitted directly over a blind and shrunken globe. It includes the iris (the colored part of the eye) and the sclera (the white part of the eye);

b. a term utilized to describe different types of hard scleral contact lenses. A shell fits over the entire exposed surface of the eye as opposed to a corneal contact lens which covers only the central nonwhite area encompassing the pupil and iris.

B. These procedures require prior authorization.

La. Admin. Code tit. 50, § XVII-1501

Promulgated by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 30:2830 (December 2004), repromulgated 31:1598 (July 2005).

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.