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Older adults often have reduced liver function, decreased body water content, and take medications that can interact with alcohol

Taking additional vitamin supplements, especially those containing similar ingredients, may lead to unnecessary high cumulative intake

However, we continue to have concerns about the coding structure and the valuations for the work and PE of these codes as described in the proposed rule

For example, in reviewing CPT code 49189 we noted that the recommended intraservice time as compared with predecessor CPT code 49205 was increasing from 225 minutes to 310 minutes (38 percent), and the recommended total time was increasing from 645 minutes to 814 minutes (26 percent)