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Yang K, Pan Y, Jin L, Yu F, Zhang F

Pathologic, clinical, and physiologic correlations

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In situations where a new billing and payment code is assigned for a Part B rebatable drug and the code dose description changes, we will apply a conversion factor, as appropriate, and use the benchmark quarter's payment amount, the payment amount benchmark quarter, and the benchmark quarter CPI-U of the prior billing and payment code to calculate the per unit Part B rebate amountconsistent with the policy in revised guidance that we proposed to codify at 427.304(a) and (b)