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This cannot be taken as a reason to stop the injections

The tendons that attach to the lateral epicondyle become damaged through repetitive wrist extension and gripping motions

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In the CY 2009 OPPS/ASC final rule with comment period (73 FR 68772), we established the policy that all other applicable adjustments to the OPPS national unadjusted payment rates apply when the OPD fee schedule increase factor is reduced for hospitals that fail to meet the requirements of the Hospital OQR Program