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US · guidance

CMS Pub. 100-03, ch. 1, § 80.4

Hydrophilic Contact Lenses

activein force · 2026-08-25 – presentas-observed

Hydrophilic contact lenses are eyeglasses within the meaning of the exclusion in

§1862(a)(7) of the Social Security Act and are not covered when used in the treatment of

non-diseased eyes with spherical ametrophia, refractive astigmatism, and/or corneal

astigmatism. Payment may be made under the prosthetic device benefit, however, for

hydrophilic contact lenses when prescribed for an aphakic patient.

A/B MACs are authorized to accept a Food and Drug Administration (FDA) letter of

approval or other FDA-published material as evidence of FDA approval. (See §80.1 for

coverage of a hydrophilic lens as a corneal bandage.)

Cross-references:

The Medicare Benefit Policy Manual, Chapter 15, “Covered Medical and Other Health

Services,” §100 and §120.

The Medicare Benefit Policy Manual, Chapter 16, “General Exclusions from Coverage,”

§20 and §90.

History

(Rev. 173, Issued: 09-04-14, Effective: Upon Implementation: of ICD-10, Implementation: Upon Implementation of ICD-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
2ffc27b390d58218aa5e463c5be48f4afb450b88b5496bd372bb1ffbdafb9292
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