Date Posted: March 19, 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: March 19, 2026

Summary of Changes:

Under Article Text subheading Additional Information revised bullet 9 to add "A consultation with/recommendation by one of the listed provider specialists satisfies the ordering provider requirements of the policy". Formatting and punctuation were corrected throughout the article. This revision is effective 3/19/2026.

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