Ophthalmology/Optometry policy updates
Track new and updated Ophthalmology/Optometry policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Amniotic Membrane and Amniotic Fluid Injections for Ophthalmic Indications | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Jul 15, 2026 |
| Epiretinal Radiation Therapy for Age-Related Macular Degeneration | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Jun 29, 2026 |
| Revakinagene taroretcel-lwey (Encelto) intravitreal implant — coverage criteria | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Apr 1, 2026 |
| Voretigene neparvovec-rzyl (Luxturna) subretinal injection - Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Apr 1, 2026 |
| Viscocanalostomy and Canaloplasty | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Feb 21, 2026 |
| Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome | Commercial Medical Policy | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Jun 20, 2024 |
| Foresee Home AMD Monitoring — Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Jun 19, 2019 |
| Genetic Testing for Ophthalmologic Conditions | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Apr 1, 2019 |
| Genetic Testing for Ophthalmologic Conditions | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Apr 1, 2019 |
| Genetic Testing for Ophthalmologic Conditions | Blue Cross Blue Shield - North Carolina | Clinical | Ophthalmology/Optometry | Modified | Apr 1, 2019 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.