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DMPS is effective in accelerating metal excretion without severe adverse effects in acute and chronic intoxication by inorganic and organic mercury, bismuth, arsenic, and chronic lead poisoning
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Response: We do not agree that CPT code 64596 is an outlier in assigning the MPPR status to Y in that many other surgical procedures with significant device costs in the Neurostimulator and Related Procedures APC clinical family are also discounted under the MPPR policy, such as CPT code 64583 (Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator)
Younger users with less accumulated damage may notice changes sooner, while older users with more significant collagen loss may need the full 12+ weeks before results become clearly visible
