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Bottom Line: Insurance payers are not paying 99211 when reported on the same date of service as 96372

Specifically, we proposed to use the most recently available forecast of the four-quarter moving average PPI levels for Pharmaceutical for Human Use, Prescription from the third quarter of 2025 to the third-quarter of 2026, and to round the resulting dollar amount to the nearest $5 increment

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One commenter agreed with CMS that the LithoVue TM Elite Ureteroscope is appropriately described by existing device category C1747 and that the presence of the additional feature of a pressure sensor is not, by itself, a reason to exclude the LithoVue TM Elite Ureteroscope from C1747

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