Capital Bluecross policy updates
Track new and updated Capital Bluecross 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 |
| Orthopedic Applications of Stem-Cell Therapy (including allograft and bone substitute products used with autologous bone marrow) | Capital Bluecross | Clinical | Orthopedics/Musculoskeletal | Modified | Jul 1, 2026 |
| Orthopedic Applications of Platelet-Rich Plasma | Capital Bluecross | Clinical | Orthopedics/Musculoskeletal | Modified | Jul 1, 2026 |
| Thermal capsulorrhaphy as a treatment of joint instability | Capital Bluecross | Clinical | Orthopedics/Musculoskeletal | Modified | Jul 1, 2026 |
| Balloon Dilation of the Eustachian Tube (BDET) | Capital Bluecross | Clinical | Otorhinolaryngology (ENT) | Modified | Jul 1, 2026 |
| Implantable Bone-Conduction and Bone-Anchored Hearing Prosthetic Devices | Capital Bluecross | Clinical | Otorhinolaryngology (ENT) | Modified | Jul 1, 2026 |
| STEROID-ELUTING SINUS STENTS AND IMPLANTS (FORMERLY STEROID-ELUTING SINUS STENTS) | Capital Bluecross | Clinical | Otorhinolaryngology (ENT) | Modified | Jul 1, 2026 |
| Semi-implantable and fully implantable middle ear hearing aids | Capital Bluecross | Clinical | Otorhinolaryngology (ENT) | Modified | Jul 1, 2026 |
| Low-Level Laser Therapy (Photobiomodulation) | Capital Bluecross | Clinical | Physical Medicine, Rehab & Therapies | Modified | Jul 1, 2026 |
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.