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Missing laterality is the most common cause of modifier-related 20610 denials at Medicare contractors

As indicated in that rule, we proposed this temporary payment exception to mitigate short-term instability and payment fluctuations that can negatively impact hospitals consistent with principles of certainty and predictability under prospective payment systems. To address these same concerns under the OPPS, we correspondingly proposed a transitional payment exception for CY 2026 under the OPPS using our equitable adjustment authority under section 1833(t)(2)(E) of the Act

With proper diagnosis, personalized treatment, and consistent support, pernicious anemia is manageable, and women can feel steady and well again

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