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However, the regulation text language is not currently aligned among the relevant provisions or with the preamble discussion and may also create confusion with respect to how CMS will compute the weights used in setting the caps on ACO and regional prospective HCC risk score growth, given that some ACOs will receive a regional adjustment to their benchmarks, some will receive a prior savings or, if finalized, a health equity benchmark adjustment, and some will receive no adjustment at all

As discussed previously in this final rule, we also encourage practitioners in practices that may not meet all of the requirements to bill the APCM codes to consider whether care management codes other than the APCM codes might describe the services they are delivering (for example, CCM, PCM, or certain other CTBS)

Enhanced Fat Metabolism

Most LCDs restrict coverage to male hypogonadism diagnoses (E29.1) with documented low testosterone serum levels below 300 ng/dL on two separate morning measurements