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    The Medicare issue is complex, Thoracic Medicine item numbers have recently been through a very thorough review with a multiplicity of changes in the first major review in a very long period of time. In addition there have also been further substantial changes to CMBS schedule of a much broader nature which have been well publicised and the topic of much recent debate.

    An application for a new item number is likely to take quite a long period of time, potentially up to 12 months wouldn't be out of the question?.

    In addition there are complex health economic, health management, and therapeutic questions to be answered. Which will require an evidentiary base, the clinical trails currently under way will assist in this respect. In addition to questions of equivalency or substitution of alternative methodologies.

    As the main competitor technology, lung function testing has significant volume and revenue tied to CMBS activity, the issue is likely to attract considerable opinion, debate, and I suspect emotion in the ensuing discussions.

    IMHO

    K
 
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