Date Posted: March 19, 2026

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

Effective Date: March 19, 2026

Summary of Changes:

Under Article Text subheading Additional Information revised bullet 9 to add "A consultation with/recommendation by one of the listed provider specialists satisfies the ordering provider requirements of the policy". Formatting and punctuation were corrected throughout the article. This revision is effective 3/19/2026.

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