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and ( 3 ) If applicable, multiply the sum calculated in paragraph (d)(1)(i)(B)( 2 ) of this section by a scaling factor to compute the payment differential between the HCPCS or CPT code that was improperly billed and a CMS-identified alternate code

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* * * * * (c) Outpatient physical therapy, occupational therapy, and speech-language pathology services (1) * * * (i) The individual needs, or needed, physical therapy, occupational therapy, or speech-language pathology services

As described earlier in this section, crosswalks to key reference or similar codes are one of the many methodological approaches we have employed to identify potential values that reconcile the RUC-recommend work RVUs with the recommended time values when the RUC-recommended work RVUs did not appear to account for significant changes in time