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Prior to CY 2019, when a procedure assigned to a New Technology APC was included on the claim with a primary procedure, identified by OPPS status indicator J1, payment for the new technology service was typically packaged into the payment for the primary procedure

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Early delivery was justified by the fact that it reduces the time of exposure of eventrated organs to amniotic fluid, which, in turn, reduces the risk of abdominal complications and reduces visceral-abdominal disproportion ( However, over time, a fairly large number of observations have proven that early delivery by cesarean section has a statistically insignificant effect on the outcomes of gastroschisis treatment compared to cesarean section at 3032 weeks ( To this day, the following tactics for managing pregnancy and childbirth are accepted: if dynamic observation reveals a rapid increase in polyhydramnios or there are pathological changes in the eventrated organs, such as dilation of intestinal loops or severe edema, then early delivery by cesarean section is indicated, but if there are no such complications, then the pregnancy is recommended to be maintained, and childbirth should occur naturally ( Considering that newborns with gastroschisis have hypotrophy, the question of the timing of surgical intervention remains quite complex

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