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If the research timeline permits using the entire vial within 48 hours of thawing, the remaining potency may still be sufficient depending on dose tolerance in your model
We proposed to continue assigning CPT code 61891 to status J1, APC 5464 (Level 4 Neurostimulator and Related Procedures) with a proposed payment rate of $20,126.69 and we proposed to continue assigning CPT code 61892 to status indicator J1, APC 5113 (Level 3 Musculoskeletal Procedures) with a proposed payment rate of $3,377.20
As we indicated in the CY 2026 OPPS/ASC proposed rule, we still believe that, by now, hospitals have largely developed standardized processes and procedures for encoding the existing estimated allowed amount and general data elements, like hospital license number, in the MRF and that modifying their existing processes to include the four new data elements related to the proposed allowed amounts and hospital NPI would not entail a significant amount of additional work for hospitals
