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He is blunt about online vendors: lots of these come from China, are fraught with heavy metals, and some have been tested to contain no actual peptide at all (source)

In the CY 2016 OPPS/ASC final rule with comment period (80 FR 70334 through70336), in response to commenters' concerns regarding packaging payment for potentially high-cost surgical procedures into the payment for an observation C-APC, we finalized a policy that claims reporting procedures assigned status indicator T do not qualify for payment through C-APC 8011, regardless of whether the procedure assigned status indicator T was furnished before or after observation services (described by HCPCS code G0378) were provided

Kovalchuk V, Nacz KA