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This projected increase (shown in Column 6) of Table 167 of this final rule with comment period reflects the final 2.6 percent OPD fee schedule increase factor, adding the 0.05 difference in estimated outlier payments between CY 2025 (0.95 percent) and CY 2026 (1.0 percent), including the -0.3 percent decrease due to the payment adjusted for drug administration at off campus PBDs, plus 0.07 percent for the change in the pass-through payment estimate between CY 2025 and CY 2026

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Examples include: Diagnostic contrast administration Certain test substances Documentation must support the diagnostic purpose

Can J Gastroenterol 2005