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For the CY 2026 OPPS/ASC proposed rule, CPT code 20982 had a geometric mean cost of around $18,375 and we proposed to continue to assign the procedure to APC 5115 (Level 5 Musculoskeletal Procedures), which has a proposed payment rate of around $13,254

Increasing your dose before your body has acclimated increases the risk of side effects including nausea, vomiting, and GI discomfort

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Individuals with pernicious anaemia should undergo gastroscopy soon after pernicious anaemia diagnosis and/or if they develop gastrointestinal symptoms.

First, the escalation timeline may be extended if GI tolerance is a concern