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As we age, B-12 absorption can pose challenges, compounded by factors such as weight loss surgery or procedures involving stomach reduction

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We agree that such data provides meaningful and actionable information for REHs, patients, and other members of the public

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In summary, Table 16 lists the 27 APCs that we are excepting from the 2 times rule for CY 2026 based on the criteria described earlier and a review of updated claims data for dates of service between January 1, 2024, and December 31, 2024, that were processed on or before June 30, 2025, and updated CCRs, if available