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Comment: A commenter expressed concern that the payment amount for APC 5732 dropped by 2.5 percent, from $39.96 in CY 2025 to $38.91 in CY 2026

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While some insurance plans may cover B12 injections for diagnosed deficiencies, coverage for weight management purposes may often require specific medical documentation and prior authorization

We would like to note that peer grouping [Step 7 in the methodology] hospitals based on the number of measure groups for which they report at least three measures is intended to improve comparability of Overall Hospital Quality star ratings by accounting for differences in measure information