CommercialCoverageMedium impact
Implantation of Intrastromal Corneal Ring Segments
Blue Cross & Blue Shield of Mississippi·MS · Ophthalmology·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield of Mississippi has updated their policy on intrastromal corneal ring segments (Intacs), clarifying that these implants are medically necessary only for keratoconus patients meeting strict criteria, while explicitly stating they are not medically necessary for myopia treatment and investigational for all other conditions.
Action Required
Immediately: Review all pending and future claims for intrastromal corneal ring segment procedures to ensure they meet the strict keratoconus criteria (progressive vision deterioration, corneal transplant as only alternative, clear central cornea with 450+ micron thickness). Billing team must flag any cases for myopia treatment as not medically necessary and educate providers on the updated coverage criteria to prevent claim denials.