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CMS Looking for Alternatives to Opioid Treatments
On the pain side i think there is opportunity to get some direct reimbursement we have not completed that work yet but CMS is actively looking for alternatives to opioids in particular. With our axigard nerve cap that shows that we can reduce pain if you look at these patients they're on a pain a pain scale of 0 to 100 they're about 80 so pretty high on a pain scale with removing the neuroma you can drop them down.