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These Addenda are available on the CMS website under the downloads section of the CY 2026 PFS final rule at

Local injections also carry a very small risk of introducing an infection into the joint but have the advantage that if gout has not as yet been definitively diagnosed a sample of fluid can be obtained using the same needle and analyzed for the presence of uric acid crystals

Diabetes Technol Ther 21(2):6672