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Dean et al., 2006)

Citrullinated autoantigens: from diagnostic markers to pathogenetic mechanisms

We also note for the commenter that section 1848(c)(7) of the Act, as added by section 220(e) of the PAMA, specifies that for services that are not new or revised codes, if the total RVUs for a service for a year would otherwise be decreased by an estimated 20 percent or more as compared to the total RVUs for the previous year, the applicable adjustments in work, PE, and MP RVUs shall be phased-in over a 2-year period

To maintain consistent results, many providers recommend a series of skinny shots spaced weekly or biweekly initially, followed by maintenance injections as needed