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They also degrade quickly due to temperature shifts

The reduced species, either radical Co (II) or hypernucleophilic Co(I), form a CoC bond that may be broken by electrolysis or light irradiation to yield extremely reactive carbon compounds

The 2026 NCCI Rule: Do Not Mix the Two Code Families Per the CMS NCCI Policy Manual effective January 1, 2026, immunization administration for vaccines other than flu, pneumococcal, or hepatitis B must use one code family per date of service