Date Posted: July 30, 2026

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

Effective Date: September 11, 2025

Summary of Changes: Under CPT/HCPCS codes Group 1 Paragraph was clarified.

Visit the Noridian Active LCDs webpage to view the document or access it via the CMS Medicare Coverage Database (MCD).