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Specifically, under our finalized policy we do not include claims determined to be clinical trial claims that group to MS-DRG 018 when calculating the average cost for MS-DRG 018 that is used to calculate the relative weight for this MS-DRG, with the additional refinements that: (a) when the CAR T-cell therapy product is purchased in the usual manner, but the case involves a clinical trial of a different product, the claim will be included when calculating the average cost for MS DRG 018 to the extent such claims can be identified in the historical data

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10.1016/j.jacc.2008.08.067 33 FangX.CaiZ.WangH.HanD.ChengQ.ZhangP.et al (2020)

JAMA 292 , 210218 (2004)
