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We are finalizing modifications to our proposed code descriptor for Level 1 APCM services to indicate the presence of one or fewer chronic conditions that are expected to last at least 12 months or until the patient's death and or that place them at significant risk of death, acute exacerbation and or decompensation, or functional decline. We point out to commenters that we had already included this definition of chronic condition for Level 2 and Level 3 APCM services

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We recommend B12 injections only when a deficiency is confirmed

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The issue is proceeding without a clear clinical framework for sequencing, inflammation control, and tissue readiness