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Often associated with professional athletes, smokeless or chewing tobacco is a major risk factor for several cancers, including oral, esophageal, and pancreatic cancer

We note that in the CY 2020 PFS final rule (84 FR 62685) and CY 2021 PFS final rule (85 FR 84547), CMS indicated that TCM may be billed concurrently with other care management codes when relevant, medically necessary, and not duplicative

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A: Store in an airtight container in a cool, dry place to maintain its freshness and flavor

More information about the measure development and interested parties' engagement process for the six episode-based measures we are proposing for adoption in the cost performance category is available in materials on the QPP Cost Measure Information page at