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Note: code 90460 applies to combination vaccines and to single-component vaccines (such as influenza, human papilloma virus or pneumococcal conjugate vaccines)

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Further, since the adjustment for SAHS billing activity would occur prior to the issuance of an initial determination, we would not reopen an initial determination to adjust for payment amounts excluded under the SAHS billing activity policy

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Second, it argues against a pure placebo effect, because placebo responses tend to diminish more gradually