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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
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One commenter believed that CMS packaging policies may encourage efficiencies and help lower costs, but they believed that packaging policies could penalize hospitals that provide complex care to sicker patients
Matijasevic Z, Precopio ML, Snyder JE, Ludlum DB
L.LibaA.BourassaM