For CPT code 9X100, we are proposing the RUC-recommended direct PE inputs
( (i) Discarded drug units for which a refund has been paid will be removed from the total number of billing units in the single Preliminary Rebate Report for the applicable calendar quarters in calendar year 2023
(2) Establishing the Performance Threshold (a) Statutory Authority and Background As discussed above, to determine a MIPS payment adjustment factor for each MIPS eligible clinician for a year, we must compare the MIPS eligible clinician's final score for the given year to the performance threshold we established for that same year in accordance with section 1848(q)(6)(D) of the Act
CMS scores a MIPS eligible clinician's performance on measures and activities in accordance with section 1848(q)(5) of the Act and regulations at 414.1317, 414.1365, 414.1367, and 414.1380, as applicable to determine a final score for each MIPS eligible clinician
We also propose to use this crosswalk to establish the direct PE inputs for HCPCS code GCTM2