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Below we demonstrate the steps used to determine the APC payments that will be made in a CY under the OPPS to a hospital that fulfills the Hospital OQR Program requirements and to a hospital that fails to meet the Hospital OQR Program requirements for a service that has any of the following status indicator assignments: J1, J2, P, Q1, Q2, Q3, Q4, R, S, T, U, or V (as defined in Addendum D1 to this final rule with comment period, which is available via the internet on the CMS website), in a circumstance in which the multiple procedure discount does not apply, the procedure is not bilateral, and conditionally packaged services (status indicator of Q1 and Q2) qualify for separate payment

Injection site reactions, transient flushing, and gastrointestinal upset are reported occasionally

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