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Response: We appreciate commenters' concern that the proposed methodology updates could exacerbate perceived limitations of the Overall Hospital Quality Star Rating, and acknowledge concerns related to the general concept of the Overall Hospital Quality Star Rating serving as a quality summary based on a diverse set of measures

However, for most people with normal B12 levels, supplementation or injections do not significantly affect metabolism or fat loss

Comment: Commenters requested that CPT codes 75557, 75559, 75561, 75563 be reassigned to the Nuclear Medicine and Related Services APC family because cardiac MRI procedures are not clinically similar or similar in resource use to the other procedures assigned to the current APCs

The FDA-approved package insert describes one of the steps for administering Luxturna as, after completing a vitrectomy, identify the intended site of administration