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Two-Midnight Rule Medical Review Activities Exemptions: For CY 2026, we are continuing our existing policy exempting procedures that are removed from the IPO list under the OPPS from certain medical review activities related to the two-midnight policy

In the CY 2016 OPPS/ASC final rule with comment period (80 FR 70334 through70336), in response to commenters' concerns regarding packaging payment for potentially high-cost surgical procedures into the payment for an observation C-APC, we finalized a policy that claims reporting procedures assigned status indicator T do not qualify for payment through C-APC 8011, regardless of whether the procedure assigned status indicator T was furnished before or after observation services (described by HCPCS code G0378) were provided

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If you happen to be someone who bruises easily, or if its a truly exceptionally important event, aiming for a full month in advance gives you ample time for any potential bruising and swelling to completely subside