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If it is pernicious anaemia, the injections may need to be administered for the rest of your life

The latter approach delays claims processing but ensures accurate code assignment aligned with CMS coding guidelines

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Accordingly, in the CY 2025 OPPS/ASC final rule with comment period, we finalized a policy to exclude the non-opioid treatments for pain relief identified as satisfying the required criteria for payment under section 4135 of the CAA, 2023 from the C-APC policy to ensure payment is not packaged into any C-APC and that separate payment is made in accordance with the statute (89 FR 93938 through 93939)