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No evidence supports its use over or in addition to evidence-based orthobiologic interventions

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Escalating the dose to chase a faster result is explicitly not the studied approach

Response: We note that in the CY 2026 OPPS/ASC proposed rule (90 FR 33775), we proposed to utilize the same file format requirementsthe QRDA standardapplied in the Hospital IQR, OQR, and Medicare Promoting Interoperability Programs (85 FR 58940, 86 FR 42262, and 80 FR 49706, respectively)