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Dean BJ, et al

Therefore, for CY 2026, we proposed to assign CPT code 97007 to APC 1517 (New TechnologyLevel 17 ($1,501-$1,600)) with a $1,550.50 payment rate based on existing claims data for CPT code 0662T

Wing, R

However, we stated there are certain situations in which the packaged payment amount attributed to the diagnostic radiopharmaceutical used in an imaging procedure assigned to a nuclear medicine APC may not adequately account for the cost of a diagnostic radiopharmaceutical that has a significantly higher cost, but lower utilization relative to the other diagnostic radiopharmaceuticals that may be used with the procedure

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