Otorhinolaryngology (ENT) policy updates
Track new and updated Otorhinolaryngology (ENT) policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Zopapogene imadenovec-drba (Papzimeos) — coverage criteria for recurrent respiratory papillomatosis | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Apr 1, 2026 |
| Semi-Implantable and Fully Implantable Middle Ear Hearing Aid | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Feb 2, 2026 |
| Cryoablation, Radiofrequency Ablation, and Laser Ablation for Treatment of Chronic Rhinitis | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Jan 1, 2022 |
| Balloon Dilation of the Eustachian Tube | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Jan 1, 2021 |
| Balloon Ostial Dilation (Balloon Sinuplasty) | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Jul 14, 2020 |
| Oral Cancer Screening and Testing | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Apr 1, 2019 |
| Absorbable Nasal Implant for Treatment of Nasal Valve Collapse | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Apr 1, 2019 |
| Implantable Bone Conduction Hearing Aids | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Jan 1, 2018 |
| Surgical Treatment of Sinus Disease | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Jan 1, 2018 |
| Vestibular Function Testing | Blue Cross Blue Shield - North Carolina | Clinical | Otorhinolaryngology (ENT) | Modified | Jul 28, 2017 |
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.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
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.