CommercialCoverageMedium impact
Medical Policy Update for June 11, 2025
Blue Cross NC·NC · Pain Management, PM&R (Physical Medicine & Rehab), Neurology +2 more·Medical Policy
Effective date
Jun 11, 2025
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of North Carolina updated 29 medical policies effective June 11, 2025, primarily involving reference updates, regulatory status changes, and policy guideline clarifications. Most significantly for billing, trigger point injections now exclude coverage for botulinum toxin derivatives and separate reimbursement for image guidance is no longer allowed.
Action Required
Immediately: Update billing procedures for trigger point injections to exclude botulinum toxin or botulinum toxin derivatives (mark as non-covered). Stop billing separately for image guidance with trigger point injections - bundle into primary procedure code. Review and update encounter forms and billing system rules for trigger point injection procedures to reflect these coverage changes.