Date Posted: August 6, 2026

This Billing and Coding Article has been revised under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: October 1, 2023

Summary of Changes:

Revision Effective Date: 10/01/2023

CONTRACTOR INFORMATION:

Under ICD-10 codes that Support Medical Necessity Group 1, added the following:

I47.10, I47.11, and I47.19

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