Date Posted: August 13, 2026

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

Effective Date: August 13, 2026

Summary of Changes:

Under CPT/HCPCS Codes Group 1: Codes deleted 0138U and 81288. The addition of these codes in Revision 12 was done in error. This revision is effective 8/13/26.

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