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

Effective Date: February 15, 2022

Summary: This article is being retired because the service(s) in scope are no longer in production and no claims based on these services are anticipated.

Visit the Noridian Medicare Coverage Articles webpage to access the Retired articles in the CMS MCD.