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These findings pertain exclusively to Eli Lillys investigational pharmaceutical program and carry no implication of approval or therapeutic suitability for Novera Compounds independently manufactured research reagent

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A best practice across all payers: maintain a modifier decision tree specific to CPT 96372 within your billing software workflow

As we stated in the proposed rule, we believe requiring hospitals to encode the ( median allowed amount in the circumstances described in 180.50(b)(2)(ii)(C), rather than the estimated allowed amount, defined as the average dollar amount that the hospital has historically received from a third party payer for an item or service, would improve the public's ability to better understand, and, therefore, more meaningfully use, payer-specific negotiated charges, and would make such charges more comparable across hospitals