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In the CY 2025 final rule, (89 FR 98015) we finalized our policy to maintain the virtual presence flexibility on a temporary basis, that is, the presence of the physician (or other practitioner) would include virtual presence through audio/video real-time communications technology (excluding audio-only) through December 31, 2025 as such a policy continues to support access and preserve workforce capacity

Causes of ureteral stenosis include congenital defects of the smooth muscles of the ureter wall, abnormal ureteral blood supply, connective tissue adhesions, or vesicoureteral reflux

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