Article Detail - JF Part A
Multiple Billing and Coding Articles Retirement - Effective October 2, 2025
Date Posted: October 2, 2025
The following Billing and Coding Articles have been retired under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).
| Medicare Coverage Database Number | Billing and Coding Article Title | New Medicare Coverage Database Number |
|---|---|---|
| A52775 | Billing and Coding: Medical Necessity of Therapy Services | A53304 |
| A52755 | Billing and Coding: Outpatient Therapy Biofeedback Training | A53352 |
| A55045 | Billing and Coding: Patients Supplied Donated or Free-of-Charge Drug | A55044 |
| A56028 | Billing and Coding: Piriformis Injections | A56027 |
| A55775 | Billing and Coding: Reporting a Non-Covered Test Performed in Preparation for a Non-Covered Procedure | A55774 |
| A53017 | Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence | A53359 |
| A53079 | Billing and Coding: Sclerosing of Varicose Veins | A53084 |
| A53975 | Billing and Coding: Spinal Fusion Services: Documentation Requirements | A53972 |
| A58579 | Billing and Coding: Spinraza® (Nusinersen) | A58578 |
| A57849 | Billing and Coding: Tomosynthesis-Guided Breast Biopsy | A57848 |
| A56026 | Billing and Coding: Topical HBO and Physician Related Service Billing and Coding Guidelines | A56025 |
| A53918 | Dropless Cataract Surgery | A53916 |
| A54917 | Investigational Device Exemptions (IDE) - IDE Documentation Requirements for Studies with an FDA Approval dated January 01, 2015, or later | A54919 |
| A52754 | Non-Payment for Prefabricated Splints | A56112 |
| A53034 | Self-Administered Drugs - Process to Determine Which Drugs Are Usually Self-administered By the Patient | A53893 |
| A52926 | Sipuleucel-T (Provenge®) - Coverage Criteria for Prostate Cancer – Clarification | A55719 |
| A52960 | Sterilization | A53356 |
| A55059 | Waiver of Face-to-Face Visit for Home Dialysis Patients | A55058 |
Effective Date: October 2, 2025
Rationale: The above-mentioned Billing and Coding Articles were retired to consolidate JF policies with JE policies to have one unified document and policy number. Per the Centers for Medicare & Medicaid Services (CMS), this update is considered non-substantive and does not alter the intent of coverage or non-coverage outlined in any article.
Visit the CMS Medicare Coverage Database (MCD) to access the Retired articles.
Last Updated Oct 02 , 2025
