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Due to these concerns, we are therefore proposing to establish national pricing for HCPCS code G0465 for CY 2025

The American Lung Association provides the following guidance on the use of the Z codes: Z57.31 Occupational exposure to environmental tobacco smoke (may not be used with Z77.22 exposure to environmental smoke) Z77.22 Contact with and suspected exposure to environmental smoke (may not be used with a F17.2 tobacco dependence or Z72 tobacco use code) Z71.6 Counseling and medical advice tobacco abuse counseling Z72.0 Problems related to lifestyle and tobacco use not otherwise specified Z87.891 Personal history of nicotine dependence (may not be used with F17.2 current nicotine dependence code) Z13.89 Encounter for screening for other disorder

Based on comments received on the CY 2024 proposed rule, we finalized an update in the clinical labor pricing of the cytotechnologist (L045A) clinical labor type from $0.76 to $0.85 based on submitted data from the 2021 American Society of Clinical Pathologists (ASCP) Wage Survey of Medical Laboratories (88 FR 78838)

In response to comments, CMS stated in section 40.1.2 of the revised Medicare Part D Drug Inflation Rebate Guidance that Part D rebatable drugs first approved or licensed on or before October 1, 2021, that were not marketed until after that date and thus did not have AMP in the statutorily defined payment amount benchmark period (that is, January 1, 2021, through September 30, 2021) would be treated in the same manner as subsequently approved drugs for purposes of establishing the payment amount benchmark period, benchmark period CPI-U, first applicable period, and first applicable period CPI-U