Are 3 visits to initiate J9035 (injection, bevacizumab (Avastin) 10 mg) medically necessary for a patient with central retinal vein occlusion, retinal neovascularization, and symptoms of blurred vision, foreign body sensation, photophobia, and dryness?

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Medical Necessity Assessment for Bevacizumab in Central Retinal Vein Occlusion with Retinal Neovascularization

Yes, 3 visits to initiate bevacizumab (J9035) are medically necessary for this patient with central retinal vein occlusion and retinal neovascularization, as anti-VEGF therapy is the standard of care for this condition and the patient meets established criteria. 1, 2, 3

Rationale for Approval

Diagnosis Meets Established Indications

  • The patient has central retinal vein occlusion (H34.8111) with retinal neovascularization, which is a well-established indication for anti-VEGF therapy according to the American Academy of Ophthalmology 1, 2, 3

  • Macular edema following retinal vein occlusion is specifically listed in the MCG criteria as an appropriate eye condition for bevacizumab treatment, and this patient's diagnosis directly satisfies this requirement 3, 4

  • The presence of retinal neovascularization in the context of CRVO represents a vision-threatening complication that requires prompt anti-VEGF intervention to prevent further visual loss and complications 1, 2, 5

Clinical Evidence Supporting Treatment

  • Anti-VEGF agents are first-line therapy for retinal and choroidal neovascularization, as recommended by the American Academy of Ophthalmology 1, 2, 3

  • Bevacizumab has demonstrated 60-100% complete resolution of subretinal fluid in neovascular conditions, with significant visual acuity improvement 1

  • Studies show that 73.3% of patients with CRVO treated with bevacizumab achieved significant visual acuity improvement (at least 3 lines), with mean central retinal thickness decreasing from 921±264 to 239±66.2 microns 6

Loading Dose Protocol Justification

  • Initial treatment with anti-VEGF therapy should be at approximately 4-week intervals, as recommended by the American Academy of Ophthalmology 2

  • The standard loading protocol involves 3 consecutive monthly injections to achieve optimal anatomic and functional outcomes 7

  • Patients with choroidal neovascularization demonstrate continued improvement with every injection of bevacizumab, supporting the need for serial treatments rather than a single injection 1

Critical Distinction: Posterior Vitreous Detachment vs. Retinal Neovascularization

Why PVD Does Not Negate Medical Necessity

  • The posterior vitreous detachment noted in the assessment is a separate, benign finding that does not require treatment and does not contraindicate bevacizumab therapy [@clinical knowledge@]

  • The primary indication for treatment is the central retinal vein occlusion with retinal neovascularization (H34.8111), not the PVD 1, 2, 3

  • The symptoms of blurred vision are consistent with macular edema from CRVO, not from the PVD, which typically causes only floaters and flashes 3, 4

Addressing the "May Not Meet Indications" Concern

  • The case notes state "MAY NOT MEET THE LISTED INDICATIONS FOR AVASTIN" but this appears to be an administrative flag rather than a clinical determination [@case notes@]

  • Upon review, the patient explicitly meets MCG criteria: age ≥18 years (55F), macular edema following retinal vein occlusion (CRVO with neovascularization), and no concurrent ocular infection 3, 4

  • The diagnosis code H34.8111 specifically includes retinal neovascularization, which is a more severe manifestation than simple macular edema and carries higher urgency for treatment 5

Safety Considerations and Monitoring

Risk-Benefit Profile

  • Bevacizumab injections are very well tolerated with no intraocular or systemic side effects observed in studies of CRVO patients receiving mean 2.6±1.4 injections 6

  • Neovascular events may be delayed with anti-VEGF therapy compared to the natural history of CRVO, with mean duration of 17.0±10.3 months until any neovascular event when treated 5

  • The most significant risk is central retinal artery occlusion, but this occurs primarily in patients with ocular ischemic syndrome (50% risk), not in standard CRVO cases (2% overall risk) 8

Required Monitoring

  • Regular OCT monitoring should continue to assess treatment response and determine when neovascularization has fully resolved 1, 2

  • The American Academy of Ophthalmology recommends OCT for detecting and quantifying macular edema, guiding treatment decisions, and monitoring response to anti-VEGF therapy 3

  • Strict follow-up examination is essential, particularly monitoring for iris neovascularization which occurs most frequently (58% of neovascular events) in CRVO patients 5

Treatment Duration and Recertification

  • The initial certification for 3 months (3 visits) aligns with the standard loading dose protocol and MCG guidelines for initial review 2

  • Continued treatment beyond the loading phase should be based on pro re nata approach with persistent fluid on OCT, which has shown 77.1% complete resolution 1

  • If neovascularization recurs after stability, resumption of bevacizumab treatment would be indicated, with photodynamic therapy as a reasonable alternative 1

Conclusion on Medical Necessity

The 3 initial visits for bevacizumab are medically necessary and should be approved based on:

  • Established diagnosis of CRVO with retinal neovascularization meeting MCG criteria 3, 4
  • American Academy of Ophthalmology recommendation for anti-VEGF as standard of care 1, 2, 3
  • Evidence-based loading protocol requiring serial injections for optimal outcomes 1, 2
  • High risk of vision loss without treatment versus favorable safety profile with treatment 6, 5

References

Guideline

Treatment of Choroidal Neovascularization with Bevacizumab

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Medical Necessity of Vabysmo for Retinal Neovascularization

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Central Retinal Vein Occlusion with Macular Edema Treatment Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

[Bevacizumab for the treatment of macular edema secondary to retinal vein occlusion].

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2007

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Adverse events associated with intraocular injections of bevacizumab in eyes with neovascular glaucoma.

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2012

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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