Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XVII - Prosthetics and Orthotics
Subpart 3 - Prosthetic Devices
Chapter 15 - Artificial Eyes, Scleral Shell, and Related Services
Section XVII-1501 - Introduction

Universal Citation: LA Admin Code XVII-1501

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

A. Definitions

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

Full Ocular Prosthesis-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.

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

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