CommercialCoverageMedium impact
11.05.01h, Refractive Keratoplasty, Keratoprosthesis, and Corneal Collagen Cross-Linking
Independence Blue Cross·Ophthalmology·Medical Policy
Effective date
Jul 27, 2026
We identified it
Jul 28, 2026
Summary
Policy 11.05.01h regarding Refractive Keratoplasty, Keratoprosthesis, and Corneal Collagen Cross-Linking has been updated. This is a General Description, Guidelines, or Informational Update for Commercial plans. The billing team must review the updated policy guidelines to ensure accurate coverage determination and billing for these ophthalmologic procedures effective 07/27/2026.
Action Required
By 07/27/2026: Billing and clinical teams must access the full policy text at https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=07&FilterField2=MPSiteActivityLogYear&FilterValue2=2026#commercial-11-05-01h to review updated guidelines for Refractive Keratoplasty, Keratoprosthesis, and Corneal Collagen Cross-Linking procedures. Update internal documentation and billing protocols to reflect any new coverage criteria, medical necessity requirements, or prior authorization rules. Providers and billing staff should be notified of changes. Claims processed after the effective date must comply with updated guidelines or risk denial.