Date Posted: May 14, 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: January 1, 2026

Summary of Changes: Under ICD-10 codes that Support Medical Necessity Group 1 added: S01.01XA, S01.01XD and S01.01XS.

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