Ophthalmology/Optometry policy updates
Track new and updated Ophthalmology/Optometry policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) — posterior segment (OCT) | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Mar 1, 2026 |
| Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) — Posterior Segment | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Mar 1, 2026 |
| Implantation of anterior segment intraocular nonbiodegradable drug-eluting system | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Jan 4, 2026 |
| Implantation of Anterior Segment Intraocular Nonbiodegradable Drug-Eluting System | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Jan 1, 2026 |
| Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Mar 1, 2025 |
| Treatment of Dry Eye Syndrome | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Mar 1, 2025 |
| Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Jan 3, 2025 |
| Stents and shunts for glaucoma | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Mar 1, 2024 |
| Implantation of Anterior Segment Intraocular Nonbiodegradable Drug-Eluting System | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Jan 10, 2024 |
| Implantation of Anterior Segment Intraocular Nonbiodegradable Drug-Eluting System | Blue Cross Blue Shield - Rhode Island | Clinical | Ophthalmology/Optometry | Modified | Jan 10, 2024 |
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.