CommercialBilling CodesMedium impact
08.00.57u, Treatments for Complex Regional Pain Syndrome (CRPS)
Independence Blue Cross·PA · Pain Management, Anesthesiology, Neurology +2 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Independence Blue Cross updated CRPS policy 08.00.57u effective 01/01/2026 to add echogenic nerve block needle code C9812 and remove immune globulin code J1572, but then re-added J1572 on 01/08/2026 per CMS guidance. Billing teams must verify current code coverage status in their system and ensure claims are submitted with the correct codes to avoid denials.
Action Required
By 01/15/2026: Billing team must update billing system to include HCPCS code C9812 (echogenic nerve block needles) as a covered code for CRPS treatments in the medical policy 08.00.57u. Additionally, verify that HCPCS code J1572 (immune globulin injection) is RESTORED to the covered codes list effective 01/08/2026 per the CMS correction notice—do NOT remove this code despite the interim deletion notice. Update claim submission rules and prior authorization workflows to reflect both codes as medically necessary when criteria are met. Alert providers and clinical staff of the restoration of J1572 to prevent erroneous claim denials. Failure to update the system may result in denial of legitimate claims for echogenic nerve block needles and improper rejection of immune globulin claims.