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While we recognize that APC geometric mean costs can fluctuate based on a variety of factors, including updated claims and cost report data update, APC level recalibration, and others, the geometric mean costs of both codes suggests that they are appropriately placed in the Level 2 APC based on their estimated resource costs

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As a result, many experts recommend that people taking metformin regularly get screened for vitamin B12 deficiency

After careful review and discussion with our CMS medical officers and leadership, we will render a decision through the sub-regulatory process through which the New Technology APC placement was initially requested

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