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For all patients, submission criteria 1 and 3 are applicable, but submission criterion 2 will only be applicable for those patients who are identified as tobacco users

Since regulations at 405.2460 allow the payment limitations set out in Part 410 to apply to payment for services provided by RHCs and FQHCs, we believe it is consistent with our current RHC and FQHC payment policies to apply the proposed DCAPS fee schedule payment limits, as discussed above, to those same DCAPS drugs when furnished in an RHC or FQHC

To be crystal clear: any chest pain with arm numbness should always be medically evaluated , even if it later turns out to be reflux

It is important to note that if RHCs and FQHCs report these new codes, they are per calendar month bundles

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