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As part of this revised definition of primary care services used for assigning beneficiaries under 425.402, we propose to incorporate a provision in 425.400(c)(1)(ix)(C), specifying that the primary care service codes for purposes of assigning beneficiaries include a CPT code identified by CMS that directly replaces a CPT code specified in 425.400(c)(1)(ix)(A) or a HCPCS code specified in 425.400(c)(1)(ix)(B), when the assignment window or expanded assignment window (as defined in 425.20) for a benchmark or performance year includes any day on or after the effective date of the replacement code for payment purposes under FFS Medicare

This decrease reflects the updated analysis of MVP submissions for established MVPs (from 14 percent to 4 percent) to account for the latest available MIPS submission data, and the additional 6 percent of MIPS clinicians we believe may report the 6 newly proposed MVPs due to updated quality measure submission data