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The commenter stated that the work RVUs aligned very closely between the 2024 targeted AMA RUC survey respondents and the independent 2025 real world attestation survey across the full spectrum of percentiles, with 25th percentile work RVUs of 13.00 and 14.00 respectively

doi:10.2450/2012.0183-12

[1] Tirzepatide may cause fetal harm and should be discontinued at least 2 months before a planned pregnancy

For example, in the CY 2015 PFS final rule (79 FR 67569), we noted that routinely updated, auditable resource cost information submitted contemporaneously by a wide array of providers across the country is a valid reflection of relative resources and could be useful to supplement the resource cost information developed under our current methodology based upon a typical case that are developed with information from a small number of representative practitioners for a small percentage of codes in any particular year. We proposed to utilize the OPPS total geometric mean cost for CPT code 99454 to inform the valuation of CPT codes 99445 and 99454 when paid under the PFS