Ophthalmology/Optometry policy updates
Track new and updated Ophthalmology/Optometry policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Optical Coherence Tomography (OCT) of the Anterior Eye | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Jul 1, 2026 |
| Corneal Collagen Cross-Linking | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Jul 1, 2026 |
| Diagnosis and Treatment of Dry Eye Syndrome | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Feb 1, 2026 |
| Intravitreal and punctum corticosteroid implants | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Jan 1, 2026 |
| Corneal Collagen Cross-Linking | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Dec 1, 2025 |
| Intraocular Radiotherapy for Age-Related Macular Degeneration | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Nov 1, 2025 |
| Implantation of Intrastromal Corneal Ring Segments | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Nov 1, 2025 |
| OPTICAL COHERENCE TOMOGRAPHY (OCT) OF THE ANTERIOR EYE | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Oct 1, 2025 |
| Corneal surgery (formerly corneal transplant, endothelial keratoplasty and keratoprostheses) | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Oct 1, 2025 |
| CORNEAL SURGERY (FORMERLY CORNEAL TRANSPLANT, ENDOTHELIAL KERATOPLASTY AND KERATOPROSTHESES) | Capital Bluecross | Clinical | Ophthalmology/Optometry | Modified | Oct 1, 2025 |
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.