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Absent statutory changes, the commenters encouraged CMS to adopt an incident to billing model for freestanding SUD treatment facilities for all of these levels of care, so long as (1) the reimbursement rate is no lower than the hospital outpatient department rate, (2) an add-on code is developed to appropriately compensate the billing practitionerespecially if they are external to the facilityin a way that does not dilute the rate for the freestanding SUD treatment facility

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