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  "documentTitle": "PROCEPT BioRobotics Corporation (PRCT)",
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      "text": "Based on our conversations with urologists, CMS has implemented more restrictive guidelines for approving Aquablation, requiring additional tests be performed before granting approval. We believe this may slow Aquablation procedure growth.",
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      "text": "“...there have been a lot more changes into the Medicare and kind of guidelines and an increase in Medicare audits for Aquablation, as well as commercial insurance audits, because strictly Aquablations are indicated for certain sizes of the prostate, but this past year some more restrictive guidelines were released, including size criteria, objective urinary flow assessment criteria, objective questionnaire criteria to allow for approval of Aquablation. So that may be a trend that we continue to see, just more restrictive requirements to offer Aquablation to patients because I feel like that's happening more and more as technologies are more available. I don't know if CMS wants to prevent physicians from kind of abusing this, but it's been a little bit more difficult to get the surgery for patients. I think there are a lot of headwinds for allowing Aquablation to reach more people.” — Spruce Point Interview with Private Practice Urologist, Dec 2024",
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      "text": "Red box for Spruce Point emphasis. Source: CMS Local Coverage Determination For Transurethral Waterjet Ablation of the Prostate, Spruce Point research",
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      "text": "Urologist Perspectives on Recent CMS Audits",
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