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We are also not compelled to reassign CPT code 38228 to APC 5242 because of the lack of the NA indicator in the Medicare Physician Fee Schedule and because the RUC assignment of both facility and non-facility RVUs do not support the reassignment of CPT codes 38338, 67028 and 67516 to APC 5242

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We believe the modifications we are finalizing to the lookback period help to address this concern by providing a longer period to amass adequate data to encode a value

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[2] Long-term follow-up: Once stable on maintenance therapy, routine blood monitoring is not usually necessary unless new symptoms develop

It can take a while to build up B12 levels after exposure to nitrous oxide