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A few commenters noted the complexity of a segmented lookback ( period if a contract changes midyear or if there are multiple allowed amounts that vary as a result of a lookback period that includes a contract change

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As this is below the threshold of 100 claims for a service within a year, we proposed to apply our universal low volume New Technology APC policy and use the highest of the geometric mean cost, arithmetic mean cost, or median cost based on up to 4 years of claims data to assign CPT code 78432 to the appropriate New Technology APC

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Payment Disputes Contact support before initiating a payment dispute so BGX can review the order and any available remedy

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