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We stated in the CY 2026 OPPS/ASC proposed rule that it was unclear to us whether the aprevo Cervical ACDF system and the aprevo Cervical ACDF-X system (with and without CAM) are different devices such that they should be evaluated separately for OPPS pass-through payment status

Pilitsi, E

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Central to this process is an excess production of androgens, sex hormones more commonly associated with male traits but naturally present in all women at lower levels [1,5]

Altered B12 handling and reduced clearance in kidney disease, and both cellular release and reduced clearance in liver disease, can raise B12, so supportive renal or hepatic findings make those causes plausible