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Peptides and steroids are entirely different substances with different mechanisms of action

No one has tested whether the effects are additive, synergistic, or negligible when combined

In fact, many providers of the injections will not give them to patients unless a test reveals they do have a deficiency

Lipotropic injections are a blend of essential nutrients, including B vitamins, amino acids, and fat-burning compounds like methionine, inositol, and choline (MIC)

Therefore, in the CY 2021 OPPS/ASC ( final rule with comment period, we established a new HCPCS code, C9770 (Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent) to describe this process