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For Medicaid and certain commercial payers, modifier SL on the 90471 line must accompany the National Drug Code for the vaccine product

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Many other intranasal preparations using specialized delivery systems involving nanoparticles are being assessed in laboratory and sometimes human trials across a range of diseases

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Therefore, we are proposing to reinstate, with respect to high Medicaid facilities, the program integrity restrictions on the frequency of expansion exception requests, maximum aggregate expansion of a hospital, and location of expansion facility capacity that were removed in the CY 2021 OPPS/ASC final rule