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79 There was also a clear conflict of interest, as the physicians running the study were affiliated with the clinic providing (and profiting from) the peptide therapy

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To determine which combinations of primary service codes reported in conjunction with an add-on code may qualify for a complexity adjustment for CY 2026, we apply the frequency and cost criteria thresholds discussed above, testing claims reporting one unit of a single primary service assigned to status indicator J1 and any number of units of a single add-on code for the primary J1 service

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