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In addition, because drugs covered as additional preventive services (hereinafter, DCAPS

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In circumstances in which negative or zero ASP data is reported for some, but not all National Drug Codes (NDCs) associated with a billing and payment code for a drug, we are proposing to calculate the payment limit using only NDCs with positive ASP data

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The specialty society recommended, and the RUC agreed that the recommended work RVU for CPT code 5XX05 should be crosswalked to CPT code 52284 ( Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed )