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Blue Cross & Blue Shield of MississippiCommercial · Coverage · Medical Policy · MS · Infectious Disease, Critical Care, Emergency Medicine +2 moreMedium impact

Recarbrio (imipenem-cilastatin-relebactam)

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

BCBS Mississippi has updated their policy stating that Recarbrio (imipenem-cilastatin-relebactam) is considered not medically necessary for all approved indications including hospital-acquired pneumonia, ventilator-associated pneumonia, complicated UTIs, and complicated intra-abdominal infections because other covered alternatives are available. The drug is also considered investigational for all other uses.

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What to do

immediately · 3 steps
01Billing team must flag HCPCS code J0742 (Recarbrio injection) as not covered by BCBS Mississippi due to availability of other covered alternatives.
02Update billing system to alert providers that claims for J0742 will likely be denied.
03Providers should use alternative covered antibiotics for hospital-acquired pneumonia, ventilator-associated pneumonia, complicated UTIs, and complicated intra-abdominal infections.

Codes mentioned

J0742

Original notice

Recarbrio (imipenem-cilastatin-relebactam)
bcbsms.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross & Blue Shield of Mississippi changes →
State and School Employees' Health Insurance Plan - Recarbrio (imipenem-cliastatin-relebactam)MediumNo effective date · Medical PolicyBrowse every Blue Cross & Blue Shield of Mississippi change in the policy list

Related policy hubs

Blue Cross & Blue Shield of Mississippi policiesMS policy changesInfectious DiseaseCritical CareEmergency MedicineUrologyGeneral SurgeryCode J0742

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