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Therefore, for CPT codes 3X018-3X020 we are treating these codes as having no recommended direct PE values and are seeking comment on direct PE values for these codes
This adjustment includes both a drug component and a non-drug component for overdose education
In such instances, CMS proposes to calculate the average total allowed charges per individual per year for the drug using allowed charges and the number of individuals who used the drug or biological product based on claims for the previously grouped billing and payment code during the year
Therefore, we estimate that it will result in a total burden of 50,244 hours (18,609 respondents 2.70 incremental hours for a computer analyst's time above and beyond the physician, medical and health services manager, and computer system's analyst time required to submit quality data) and $5,353,065 (18,609 responses $287.66/response) to submit data for the Promoting Interoperability performance category in the CY 2025 performance period/2027 MIPS payment year
