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Regarding the comment that add-on codes are not distinct from the base code and would inappropriately weight the encounter, we believe that including add on services in determining where a beneficiary has received the plurality of primary care services in step 1 of the assignment methodology helps ensure that a beneficiary is assigned to the ACO whose ACO participants are actually providing the plurality of primary care for that beneficiary, and thus, should be responsible for managing the patient's overall care, or is not assigned to any ACO if the plurality of the beneficiary's primary care is furnished by practitioners in a non-ACO entity (see, for example, 80 FR 32748)

Another critical mechanism driving Long COVID and dysautonomia is microvascular inflammation and endothelial dysfunction

DISINFECTION, DEODORIZING, AND CLEANING: Remove gross filth or heavy soil prior to application of the product

Synergistic effect of UV/Chlorine in bacterial inactivation, resistance gene removal, and gene conjugative transfer blocking

It may be accompanied by numbness, tingling, or weakness in the leg or foot