Date Posted: June 25, 2026

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

Effective Date: April 6, 2026

Summary of Article Changes: Effective 04/06/2026

Under CPT Codes:

Moved 0787T, 0788T and 0789T from Group 1 to Group 2.

Under ICD-10 codes that support Medical Necessity:

Group 1 paragraph - Updated the sentence to add 0786T, 0788T and 0789T.

Added *Note: Diagnosis criteria does not apply to 0787T.

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