Medicare AdvantageCoverageMedium impact
MA08.026l, Treatments for Complex Regional Pain Syndrome (CRPS)
Independence Blue Cross·Pain Management, Neurology, PM&R (Physical Medicine & Rehab) +2 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA08.026l for Complex Regional Pain Syndrome (CRPS) treatments has been updated effective October 1, 2025. This policy change affects coverage and billing requirements for CRPS-related procedures and treatments under Medicare Advantage plans.
Action Required
By October 1, 2025: Billing team must review the updated MA08.026l policy for Complex Regional Pain Syndrome treatments at https://medpolicy.ibx.com/ibc/ma/Pages/Site-Activity-View.aspx. Update billing procedures and prior authorization requirements for CRPS-related services according to the new Medicare Advantage guidelines. Ensure all staff treating CRPS patients are aware of coverage changes.