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While the rest of the body seems skinny, the abdomen appears bloated

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As discussed in earlier rulemaking, we have used the authority under section 1899(i)(3) of the Act to adopt alternative policies to the provisions of section 1899(d)(1)(B) of the Act for updating the historical benchmark [508] and calculating performance year expenditures, [509] among other factors

Updated April 28, 2020

The Excludes1 note under D89.4 is revised, as follows: Added: (con-congenital) cutaneous mastocytosis (D47.01), (indolent) systemic mastocytosis (D47.02), malignant mast cell neoplasm (C96.2-), malignant mastocytoma (C96.29), mast cell sarcoma (C96.22), mastocytoma NOS (D47.09), other mast cell neoplasms of uncertain behavior (D47.09), and systemic mastocytosis associated with hematologic non-mast cell lineage disease (SM-AHNMD) (D47.02) Deleted: indolent systemic mastocytosis (D47.0), malignant mastocytoma (C96.2), mastocytoma (D47.0), systemic mastocytosis associated with a clonal hematological non-mast cell lineage disease (SM=AHNMD) (D47.0)

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