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When blood flow to an organ does not limit elimination (see below), the relation between elimination rate and concentration (C) is expressed mathematically in equation (5): The maximum elimination capacity is V max , and K m is the drug concentration at which the rate of elimination is 50% of V max

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It spells out the ICD-10 codes that support necessity for the swallow study CPT codes, and a few rules trip up practices that haven't read it