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During our CY 2026 OPPS/ASC proposed rule assessment of CPT code X432T, we determined that the enhanced lithotripsy service involved a non-FDA approved device not excepted by any IDE status and therefore not payable under the OPPS/ASC because non-FDA approved devices are considered not reasonable and necessary under Section 1862(a)(1)(A) of the Act

Embedding carbon valorization within integrated resource recovery frameworks alongside water reuse, nutrient recycling, and energy generation recasts wastewater infrastructure as a multifunctional climate mitigation platform

It can also be synthesized

Can You Use Both Together