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Where a clinical or brachytherapy APC has fewer than 100 single claims that can be used for ratesetting, under our low volume APC payment adjustment policy, we determine the APC cost as the greatest of the geometric mean cost, arithmetic mean cost, or median cost based on up to 4 years of claims data

Each of those symptoms can occur either alone or with others

In view of a clear Vit B12 deficiency and/or HHcy and/or high MMA levels in a PwPD presetting with clinical signs of PN, a complete neurographic assessment and an extensive alternative-causes workup should be performed

A few commenters indicated they do not currently encode the estimated allowed amount if they can calculate the payer-specific negotiated charge: dollar amount of a known fee schedule, case rate, or per diem