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For additional information regarding the use of old work time values that were established many years ago and have not since been reviewed in our methodology, we refer readers to our discussion of the subject in the CY 2017 PFS final rule (81 FR 80273 through 80274)

When administering the injection in the thigh, it's important to locate the correct spot

Comment: One commenter stated that while linking dental services to other services such as a stent for hemodialysis, or a vascular access graft would be a benefit for ESRD patients, receipt of dental services is not a clinical requirement in order to receive dialysis

Patients with evidence of vitamin B 12 deficiency and chronic gastrointestinal symptoms such as dyspepsia, recurrent peptic ulcer disease, or diarrhea may warrant evaluation for such entities as Whipple's disease (a rare bacterial infection that impairs absorption), Zollinger-Ellison syndrome (gastrinoma causing peptic ulcer and diarrhea), or Crohn's disease