Date Posted: August 6, 2026

This Billing and Coding Article has been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: October 1, 2023

Summary of Changes:

Revision Effective Date: 10/01/2023

CONTRACTOR INFORMATION:

Under ICD-10 codes that Support Medical Necessity Group 1, added the following:

I47.10, I47.11, and I47.19

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