Urology policy updates
Track new and updated Urology policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Nadofaragene firadenovec-vncg (Adstiladrin) — intravesical suspension coverage criteria | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Apr 1, 2026 |
| Tibial Nerve Stimulation | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Dec 18, 2025 |
| Sacral Nerve Neuromodulation/Stimulation for Pelvic Floor Dysfunction | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Nov 20, 2025 |
| Vesicoureteral Reflux, Treatment with Periureteral Bulking Agents | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Nov 1, 2025 |
| Penile Prosthesis | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Jan 1, 2025 |
| Urinary Tumor Markers for Bladder Cancer AHS - G2125 | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Apr 1, 2023 |
| Gene Expression Profiling and Protein Biomarkers for Prostate Cancer | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Jan 1, 2023 |
| Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation (Aquablation) for Benign Prostatic Hyperplasia | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Jun 23, 2020 |
| Prostatic Urethral Lift (PUL/UroLift) — Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Jun 23, 2020 |
| Urinary Tumor Markers for Bladder Cancer AHS - G2125 | Blue Cross Blue Shield - North Carolina | Clinical | Urology | Modified | Dec 31, 2019 |
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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.