2026 CPT/HCPCS Billing and Coding Article Updates - Effective January 1, 2026

Date Posted: January 2, 2026

The following Billing and Coding Articles have been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: January 1, 2026

Summary of Changes: The following Billing and Coding Articles have been updated to include and/or remove CPT/HCPCS codes as well as update descriptions. For description changes, either the short and/or long code description was changed. Please Note: Depending on which descriptor was used, there may not be any changes to the code display in the article.

MCD Number Billing and Coding Article Title New CPT/HCPCS Codes Deleted CPT/HCPCS Codes CPT/HCPCS Codes Descriptor changes
A54061 Billing and Coding: Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees N/A N/A 29871
A59769 Billing and Coding: Artificial Intelligence Enabled CT Based Quantitative Coronary Topography (AI-QCT)/Coronary Plaque Analysis (AI-CPA) 75577 0623T, 0624T, 0625T, 0626T N/A
A53026 Billing and Coding: Bariatric Surgery Coverage N/A N/A 43846, 43847
A57161 Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs) N/A N/A 17110, 17111
A57183 Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography N/A J0395 93015, 93016, 93017, 93018
A59055 Billing and Coding: Influenza Diagnostic Tests 87812 N/A N/A
A57079 Billing and Coding: Injections - Tendon, Ligament, Ganglion Cyst, Tunnel Syndromes and Morton's Neuroma N/A N/A 20527, 20550, 20551
A57194 Billing and Coding: Immune Globulin Intravenous (IVIg) N/A J1572 N/A
A59695 Billing and Coding: Minimally Invasive Arthrodesis of the Sacroiliac Joint (SIJ) N/A N/A 27279, 27278
A57685 Billing and Coding: Total Knee Arthroplasty N/A 27445 N/A
A58229 Billing and Coding: Transurethral Waterjet Ablation of the Prostate 52597 0421T N/A
A58565 Billing and Coding: Wound and Ulcer Care N/A N/A 29445, 29581
A55710 Lymphedema Decongestive Treatment N/A N/A 29581, 29584
A56027 Billing and Coding: Piriformis Injections N/A N/A 20552
A57224 Billing and Coding: Respiratory Care N/A 94662 94450, 94660, 94664, 94667, 94668, 94680, 94681, 94690, 94726, 94727, 94729, 94772
A57701 Billing and Coding: Trigger Point Injections (TPI) N/A N/A 20552, 20553
A55001 Billing and Coding: Urine Drug Testing 0603U N/A N/A

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