However, we recognized in the CY 2025 OPPS/ASC proposed rule (89 FR 59201 through 59204) that there are rare instances in which cell and gene therapies appear on the same claim as a primary C-APC service and therefore, have their payment packaged with payment for the primary C-APC service
I just ordered month 2 to get more into my system and super excited to see where this takes me
Science
Comprehensive APCs (C-APCs) for CY 2026 (1) Background In the CY 2014 OPPS/ASC final rule with comment period (78 FR 74861 through 74910), we finalized a comprehensive payment policy that packages payment for adjunctive and secondary items, services, and procedures into the most costly primary procedure under the OPPS at the claim level
(2) may count towards certification of the participant in a specialty or subspecialty listed in the current edition of certain publications specified in the regulations
Vitamin B12 is a naturally occurring vitamin that is completely integral to your metabolism, ensuring healthy energy levels, and assisting in weight loss