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We are seeking comment on whether we should recommend the usage of the GY modifier on the 837D or 837P dental claim format in instances where a Medicare claim denial is sought for purposes of submission to third party payers or when the service does not fit within a Medicare benefit category and is statutorily excluded from coverage

Finally, Part B drugs approved under an Abbreviated New Drug Application (ANDA) submitted under 505(j) of the FD&C Act do not meet the definition of single source drug or biological product, as defined under section 1847A(c)(6)(D) of the Act, and thus, are not Part B rebatable drugs

They are both in millimeters

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