`A9292` Pres dig visual therapy fda

Prescription digital visual therapy, software-only, fda cleared, per course of treatment

Medicare coverage: Carrier judgment
Status: active (October 2026 file)

Medicare pricing for A9292

Physician Fee Schedule (CY 2026, RVU26D)

Status X: statutory exclusion, not paid under the PFS.

Payer policies and prior authorization for A9292

Payer coverage policies that name A9292

A9292 appears in 5 coverage policies from Aetna, Anthem, Capital Blue Cross, Premera Blue Cross, Regence.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Prescription Digital Therapeutics (0999)	not covered	Jun 19, 2026	payer document
Anthem	Dichoptic Digital Therapy for Amblyopia (CG-MED-102)	covered if criteria are met	Feb 19, 2026	payer document
Capital Blue Cross	Vision Therapy (MP 4.007) Procedure codes	unproven / investigational	Apr 1, 2026	payer document
Premera Blue Cross	Prescription Digital Therapeutics (3.03.500)	unproven / investigational	Aug 11, 2026	payer document
Regence	Digital Therapeutic Products (Medicine 175)	listed, no stance	Mar 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, OH.

ND: $0.00 (physician), effective Aug 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

A9292 Pres dig visual therapy fda