4 commercial payer policies list 00103. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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4 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 00103 |
|---|---|---|
| Anesthesia Services and Moderate (“Conscious”) Sedation | Jan 6, 2026 | Covered |
| Automated Evacuation of Meibomian Gland | Oct 1, 2026 | Not covered |
| Blepharoplasty, Blepharoptosis Repair, and Brow Lift | Jan 6, 2026 | Covered |
| Intraocular Anterior Segment Aqueous Drainage Devices (without extraocular reservoir) | Apr 15, 2026 | Covered |