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Download: CMS OPPS addenda ZIPs (CY2021-2026) from cms.gov/files/zip/ Ingest: parse Addendum A (APC weights) + Addendum B (HCPCS-APC crosswalk) with header detection for CMS preamble rows across format drift. Tables loaded: - opps.apc_weight: 5,507 rows (804→1,041 APCs, 6 years) - opps.addendum_b: 108,168 rows (17K→19K HCPCS codes per year) - opps.skin_sub_addendum_b: 1,549 rows — skin sub SI history Key finding — CY2026 reclassification visible in status indicators: - 2021-2025: SI=N (packaged, 145→245 codes), SI=B (bundled, 52) - 2026: SI=S1 (new separately payable supply, 272 codes) — the flat rate SI=N drops to 31, SI=D (deleted) = 10 codes