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We proposed to continue to conditionally package the costs of selected newly identified ancillary services into payment for a primary service where we believe that the packaged item or service is integral, ancillary, supportive, dependent, or adjunctive to the provision of care that was reported by the primary service HCPCS code (90 FR 33503)

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Clostridium butyricum (1 Billion CFU) Clostridium butyricum is a spore-forming probiotic strain with documented use in clinical and commercial settings, particularly in Asian and European markets