Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 31 - Vision Care Services, Reimbursement Schedule, Billing Instruction and Maintenance Procedures
Section I-3115 - Covered Services

Universal Citation: LA Admin Code I-3115

Current through Register Vol. 50, No. 9, September 20, 2024

A. Only optical services necessitated by an occupational injury or illness are covered. Such services are provided as a result of damage to the eye(s) due to a work injury or exposure. In addition, frames, lenses and contact lenses not originally purchased by the carrier/self-insured employer will be replaced if damaged or broken in a work-related accident, in accordance with the provisions of R.S. 23:1203.

B.

1. There are three distinct types of services provided:
a. professional service;

b. optical fitting service; and

c. eye appliance.

2. Ophthalmologists may provide all three services. Opticians may provide optical fittings and appliances only.

C. Follow-Up Services. The reimbursement allowed for contact lenses shall include the normal follow-up to check for proper fit, vision correction and comfort. Any other follow-up services routinely provided free of charge by the vendor to other patients or customers shall be provided free of charge to workers' compensation claimants.

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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