Date Posted: October 22, 2026

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

Effective Date: November 1, 2026

Summary of Changes:

Effective date of this article incorrectly stated 10/25/2026. The effective date has been corrected to 11/01/2026 to align with the LCD effective date.

Under Modifier 52 Section, corrected typographical error by updating 'superolaterial' to 'superolateral.'

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