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The conversion factor is not used to calculate the ASC payment rates for separately payable services that are assigned status indicators other than payment indicators A2, D2, G2, J8, P2, R2, and Z2. These services include separately payable drugs and biologicals, pass-through devices that are contractor-priced, brachytherapy sources that are paid based on the OPPS payment rates, and certain office-based procedures, radiology services, and diagnostic tests where payment is based on the PFS nonfacility PE RVU-based amount, and a few other specific services that receive cost-based payment (77 FR 68500)

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Most peptides used for recovery peptides Denver CO therapy are classified as "research chemicals" rather than FDA-approved medications