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Fluoroscopy helps guide the needle to the exact location and helps prevent nerve and/or artery damage

( We solicited comment on the proposed approach that we would use each year to identify the list of measures subject to the defined topped out measure benchmark, as well as the proposed list of topped out measures impacted by limited measure choice and subject to defined topped out measure benchmark for CY 2025 performance period/2027 MIPS payment year

Commenters noted that in settings such as emergency departments, crisis centers, and primary care, SPI will be conducted on its own at times and at other times, SPI will be provided in addition to services such as psychotherapy or E/M services and stated it is essential to establish a billing mechanism that meets the requirements for each of these scenarios