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For example, the PCMP TEP discussed general challenges in developing chronic condition episode-based measures and ways that the chronic condition framework can address those challenges, provided feedback on the attribution rules (that is, the algorithms and the types of codes used in each algorithm) that would demonstrate a relationship between a clinician group and a patient with a chronic condition(s), and discussed service assignment, risk adjustment, and exclusions, which support the overall development of episode-based measures, including, but not limited to those episode-based measures being proposed in this rulemaking

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For the non-drug component of the weekly bundle for injectable buprenorphine (G2069), we finalized that in addition to services for substance use counseling, individual and group therapy, and toxicology testing, we would include the Medicare non-facility rate for administration of an injection in our determination of the payment rate based on CPT code 96372 ( Therapeutic, prophylactic, or diagnostic injection (specify substance or drug)