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For example, if a patient receives injections in both knees or both shoulders on the same date of service, CPT 20610 would be billed with modifier 50 to indicate bilateral work

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(ii) Calculates the product of the percentage used to calculate the performance payment limit specified in paragraph (e)(2) of this section or the loss recoupment limit specified in paragraph (g) of this section and the ACO's total benchmark expenditures calculated according to paragraph (l)(2)(i) of this section