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Estimated Effects of OPPS Changes on the Medicare and Medicaid Programs The effect of the update on the Medicare program is expected to be an increase of $1.77 billion in program payments for OPPS services furnished in CY 2026
For each MS-DRG, this median is the weighted median MAO payer-specific negotiated charge for that MS-DRG
Ultrasound Guided Carpal Tunnel Release Procedure, CPT Code 64728 (APC 5431) For CY 2026, the AMA CPT Editorial Board created a new Category I CPT code 64728 (Placeholder code 647XX) to describe carpal tunnel release procedures using ultrasound guidance
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