It depends on the goal
There were two claims for HCPCS code C9760 in CY 2023
You would wonder why the medication stopped working
The Wolverine Stack should not be presented as an approved UK treatment for wounds, tendon injury, ligament injury, recovery or any other condition
of this final rule with comment period, CMS is finalizing, with modification, that beginning January 1, 2026, if a hospital's payer specific negotiated amount is based on an algorithm or percentage, the hospital would be required to describe the percentage or algorithm and report a new data element, the median allowed amount, instead of the estimated allowed amount, and that the median allowed amount is defined as the median of the total allowed amounts the hospital has historically received from a third-party payer for an item or service for a time period no less than 12 months and no longer than 15 months prior to the date the MRF is posted
Community sources commonly describe cycles of 4-8 weeks on, 2-4 weeks off, citing the desire to assess off-cycle effects and the absence of long-term safety data as the rationale