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Many of these patients are prescribed immunosuppressant medications that place them at higher risk of complications

Comment: Multiple commenters requested that CMS adjust the ASC payment for CPT code 64590 (insertion or replacement of peripheral neurostimulator pulse generator) from the proposed $16,502.60 to $18,330.98 to maintain consistency with historical methodology where ASC payments typically represent 110 percent-113 percent of the device offset, rather than the proposed 102 percent

Nausea is the most common side effect, particularly during dose escalation

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B12 (cobalamin) plays an essential role as a coenzyme in many biochemical processes that maintain the function of the nervous system