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Consistent with this proposal, we are also proposing to modify our calculation of the adjustment to account for the CAR T-cell therapy cases identified as clinical trial cases in calculating the national average standardized cost per case that is used to calculate the relative weights for all MS-DRGs: Calculate the average cost for cases assigned to MS-DRG 018 that either (a) contain ICD-10-CM diagnosis code Z00.6 and do not contain condition code ZC or (b) contain condition code 90 (or, for FY 2024 ratesetting, condition code ZB)

Bypasses oral absorption Injectable glutathione bypasses the poor oral bioavailability that limits supplemental forms - direct plasma elevation