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The presence of destructive or deforming arthritis warrants more aggressive therapy with either a nonbiologic DMARD or a TNF inhibitor, although there is far less evidence for the prevention of structural damage with conventional DMARDs

Commenters cited that the service described by CPT code 90849 demonstrates its ability to be furnished via telehealth due to being similar to other forms of group psychotherapy that are included on the Medicare Telehealth Services List

10.1177/17562848241258021 57 LiY.OuyangY.HeC

Comment: Some commenters acknowledged that truncation in Medicare Shared Savings Program calculations greatly mitigates a significant amount of outlier billing for skin substitutes