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This peptide does not appear to affect IGF-I or insulin levels therefore it is not a risk factor for promoting glucose intolerance or diabetes

We took this approach for the CY 2025 OPPS given the unusual circumstances wherein an appellate court ruled that CMS lacked authority under the IPPS statute for a policy under the FY 2020 IPPS wage index that the OPPS/ASC proposed rule had already proposed to include in the OPPS wage index

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Acknowledgements Editorial Staff Elizabeth Jean Betsch, ELS Amy Zierler, BA Medical Information Services Corinne Holubowich, BEd, MLIS Kellee Kaulback, BA(H), MISt Clinical Expert Advisory Panel: Appropriate Utilization of Vitamin B12 Testing for Neurocognitive-Based Indications

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