We propose to pay for individually for diagnostic radiopharmaceuticals with every day prices above a threshold of $630, that's close to two instances the quantity weighted ordinary Value amount of money at this time associated with diagnostic radiopharmaceuticals. We also suggest to update the $630 threshold in CY 2026 and subsequent a long time vi

From the CY 2015 OPPS/ASC closing rule with remark time period (79 FR 66841 by way of 66844), we finalized a revised strategy of assigning APC and status indicators for new and revised Classification I and III CPT codes that may be efficient January 1. Specifically, for the new/revised CPT codes that we obtain in a timely manner through the AMA's C