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We believe that this change would more appropriately recognize the Advanced APM participation of the eligible clinicians for whom these determinations are being made

We do not consider this service a Medicare telehealth service because it is not an inherently face-to-face service

(5) Notwithstanding paragraph (e)(5) of this section, for a drug that is a selected drug (as defined in section 1192(c) of the Act) with respect to a price applicability period (as defined in section 1191(b)(2) of the Act), in the case such Part D rebatable drug is no longer considered to be a selected drug, the benchmark period CPI-U is the CPI-U for January of the last calendar year of such price applicability period

For CPT code 3X018 (Chimeric antigen receptor T-cell (CAR-T) therapy