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During our CY 2026 OPPS/ASC proposed rule assessment of CPT code X432T, we determined that the enhanced lithotripsy service involved a non-FDA approved device not excepted by any IDE status and therefore not payable under the OPPS/ASC because non-FDA approved devices are considered not reasonable and necessary under Section 1862(a)(1)(A) of the Act

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treatment part 2b, checklist for ICU care treatment part 2b, checklist for ICU care [#1/8] review EEG Re-examine the patient and review the EEG to confirm that seizures are controlled