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Commenters compared the language used in the Social Security Act for clotting factor and coverage of medical and other health services. Specifically, they noted section 1861(s)(2)(A) of the Act, which provides for Medicare Part B coverage of services and supplies (including drugs and biologicals which are not usually self-administered by the patient) furnished as an incident to a physician's professional service. Commenters stated that because the same exact words were not used to describe the limits of these two different subsets of coverage, that is, medical and other health services and clotting factor, then Congress could not have meant the same thing

Clinical decisions should generally rely on established guidance, the laboratorys validated reference interval, and the persons complete cardiovascular-risk profile

Bibcode:1994ApEnM..60.1495K

For borderline B12 results, additional tests such as holotranscobalamin, methylmalonic acid, or homocysteine may be helpful