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Patients with vegan diets, post-bariatric history, or absorption challenges who need consistent repletion

After consideration of public comments, we are finalizing as proposed the code descriptor for HCPCS code G0557: HCPCS code G0557 ( Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, provided by clinical staff and directed by a physician or other qualified health care professional who is responsible for all primary care and serves as the continuing focal point for all needed health care services, per calendar month, with the following elements, as appropriate: Consent

Limited Human Data: Very few human clinical trials exist, and those that do are generally small-scale, preliminary investigations

doi:10.1097/00007611-198912000-00035

Regenerative Medicine, 15(4), 567-579.

Succurro E, Andreozzi F, Marini MA, Lauro R, Hribal ML, Perticone F, Sesti G