Date Posted: April 2, 2026

This Billing and Coding article has been retired under contractor numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: April 6, 2026

Summary: Retirement of this Billing and Coding article is due to significant updates made to billing and coding instructions related to NCD 20.4. which can be found in the Internet Only Manual (IOM), Medicare Claims Processing Manual (MCPM), Chapter 32, Section 270 and Change Request (CR) related to Transmittal Numbers: R13483CP & R13641CP MM 14253.

Provider offices remain responsible for correct performance, coding, billing, and medical necessity under Medicare. This responsibility for correct claims submission is unchanged whether or not there is a billing and coding article in place.

Visit the CMS Medicare Coverage Database (MCD) to access the Retired articles.