Billing and Coding: MRI and CT scans of Head and Neck (A57204) - R15 - Effective October 01, 2025

Date Posted: December 26, 2025

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, 2025

Summary of Changes: Under ICD-10 codes that Support Medical Necessity Group 1:

Added the following ICD-10 codes: G31.84, I82.B11, I82.B12, I82.B13, I82.B21, I82.B22, I82.B23, I82.C11, I82.C12, I82.C13, I82.C22, I82.C23

Visit the Noridian Active LCDs webpage to view the document or access it via the CMS Medicare Coverage Database (MCD).

Last Updated Dec 26 , 2025