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: June 3, 2022

Summary of Article Changes: Added ICD-10-CM codes H53.131, H53.132, H53.133, R47.89 to Group 1.

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