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that is, the OPD fee schedule increase factor of 2.6 percent for CY 2026, the required wage index budget neutrality adjustment of 0.9990, the 5 percent annual cap for individual hospital wage index reductions of 0.9995, the cancer hospital payment adjustment of 1.0000, and the adjustment of 0.07 (or 0.37 less 0.30) percentage point of projected OPPS spending for the difference in pass-through spending that results in a conversion factor for CY 2026 of $91.415

Case History/Examination A male patient in his early 50s with a medical history significant for Type 2 diabetes mellitus (last HbA1C 6.9%), hypertension, dyslipidemia, 12 beers per week alcohol use (last drink 1 week back), presented to the primary care (PCP) visit for routine followup care