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While acknowledging that there is not a 2-times rule violation (given the number of single frequency claims for the procedure), the commenter noted that the GMC for CPT code 31647 is significantly above the GMC of the other procedures assigned to APC 5155 and more than double that for many procedures in the APC

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Her weight loss then slowed significantly over the next 6 months and her weight remained stable over the next 2 years despite dose increases

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doi: 10.3389/fimmu.2021.714177 7 KimWEganJM