Date Posted: August 13, 2026

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

Effective Date: August 13, 2026

Summary of Changes:

Under CPT/HCPCS Codes Group 1: Codes deleted 0138U and 81288. The addition of these codes in Revision 12 was done in error. This revision is effective 8/13/26.

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