This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

Effective Date: May 07, 2020

Summary of Article Changes: The effective date of this article is being changed for Revision Number 2 and 3. The effective date should have been 05/07/2020 instead of 01/20/2017.

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.