Date Posted: June 25, 2026

This Billing and Coding Article has been revised under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV).

Effective Date: May 11, 2026

Summary of Changes:

Under CPT/HCPCS Codes Group 1: Paragraph added "ExoDX Prostate assay (PLA 0005U), performed on non-DRE urine specimens". Under CPT/HCPCS Codes Group 1: Codes added 0005U. Under CPT/HCPCS Codes Group 2: Paragraph added "ExoDX Prostate assay (PLA 0005U), performed on non-DRE urine specimens". Under CPT/HCPCS Codes Group 2: Codes added 0005U. This revision is effective 5/11/2026.

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