Radiation Oncology policy updates
Track new and updated Radiation Oncology policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Therapeutic Radiopharmaceuticals in Oncology (Lutathera, Pluvicto, Xofigo) Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Jul 1, 2026 |
| Intensity Modulated Radiation Therapy (IMRT) for Tumors of the Central Nervous System | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Sep 10, 2025 |
| Prior authorization request form for intensity-modulated radiation therapy (IMRT) | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Jun 1, 2024 |
| Radiosurgery, Stereotactic Approach (SRS/SBRT) | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Jun 1, 2022 |
| Monoclonal Antibody Imaging for Prostate Cancer | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Mar 1, 2021 |
| Oncologic Applications of Photodynamic Therapy, Including Barrett’s Esophagus | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Jan 1, 2020 |
| Oncologic Applications of Photodynamic Therapy, Including Barrett’s Esophagus | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Jan 1, 2020 |
| Perirectal Spacer Use During Radiotherapy for Prostate Cancer | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | May 14, 2019 |
| Tumor-Treatment Fields (TTF) Therapy | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Apr 16, 2019 |
| Tumor-Treating Fields (TTF) Therapy | Blue Cross Blue Shield - North Carolina | Clinical | Radiation Oncology | Modified | Apr 16, 2019 |
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.