Prior-duty update: Noridian A57079 R7
Published November 4, 2026 · Coverage October 25–31, 2026, Pacific · Medium priority
Noridian’s October 29 Jurisdiction E Part B notice reports an A57079 revision effective November 1, 2026. It says the Group 1 medical-necessity asterisk explanation specifies diagnosis M72.0 for CPT 20527 and 26341. This R7 notice follows the R6 conformity update described in our October 11 finding; the notice does not determine an individual claim’s medical necessity or payment. The current complete article and earlier R6 table were not reviewed here.
Applicability and suggested action: Affected Jurisdiction E billing and clinical teams can compare the revised notice with the current article and their applicable documentation and medical-necessity rules before changing claim edits.
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