Policy Revision(s) for Multiple Billing and Coding Articles - Effective September 25, 2025

Date Posted: September 25, 2025

The following Billing and Coding Articles have been revised under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV).

Medicare Coverage Database Number Billing and Coding Article Title and Revision Number
A55478 Billing and Coding: Abbreviated Daytime Sleep Study (e.g. PAP-NAP)
A54061 Billing and Coding: Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees
A59657 Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices
A53026 Billing and Coding: Bariatric Surgery Coverage
A55584 Billing and Coding: Billing Medicare for the SphenoCath® and Other Similar Devices
A57913 Billing and Coding: Chiropractor Services
A59752 Billing and Coding: Cryoneurolysis Instructions
A53322 Billing and Coding: Fracture Care
A55754 Billing and Coding: Home PT/INR Monitoring (G0249) Billing and Coding
A54635 Billing and Coding: Hydration Services
A56340 Billing and Coding: Implantable Automatic Defibrillators
A55215 Billing and Coding: Incident To Clarification for OPPS and CAH Outpatient
A59055 Billing and Coding: Influenza Diagnostic Tests
A55061 Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
A53024 Billing and Coding: JW and JZ Modifier Billing Guidelines
A59819 Billing and Coding: Leadless Pacemakers

Effective Date: September 25, 2025

Summary of Changes:

CONTRACTOR INFORMATION:

Added: JF contractor information

This update is to consolidate JE and JF to have one unified document and policy number.

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

Last Updated Sep 25 , 2025