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Therefore, you should always follow payer-specific guidance when applying these modifiers

Reporting Ratio Application and Associated Adjustment Policy for CY 2026 We proposed to continue our established policy of applying the reduction of the OPD fee schedule increase factor through the use of a reporting ratio for those hospitals that fail to meet the Hospital OQR Program requirements for the full CY 2026 annual payment update factor

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Peptide vials (typically 23 mL, 1013 mm diameter) and BAC water vials (typically 1030 mL, 2028 mm diameter) are different sizes and don't stack together neatly