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It most often occurs as a result of an indirect injury, when a sudden contraction of the tendon happens, for example during a sudden jump or exertion without prior preparation

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We refer the reader to the FY 2020 IPPS/LTCH PPS final rule (84 FR 42297 through 42300) for further discussion on the increase in the new technology add-on payment beginning with discharges on or after October 1, 2019