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Category S4 on the WADA Prohibited List also presents one of the biggest grey areas when it comes to interpreting the list language as it has 'including but not limited to' language that could cover any substance that may qualify in the the category based on activity

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The applicant stated that the LithoVue TM Elite Ureteroscope with the MEMS pressure sensor is integral to the ureteroscopy codes listed in Table 54 of the CY 2026 OPPS/ASC proposed rule (90 FR 33597 and 33598) in that it is a ureteroscope with a novel capability (IRP measurement) that allows for fewer complications associated with high (and unchecked) IRP during ureteroscopy