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References Schoenenberger GA, Maier PF, Tobler HJ, Wilson K, Monnier M

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Abstract Cytokines such as tumor necrosis factor (TNF) are expressed at high levels in rheumatoid joint tissue, where they contribute significantly to inflammation and articular destruction

After further clinical review, we agree with the commenter that resources and costs associated with CPT code 47555 would be more appropriately reflected by APC 5342

For instance, it has been shown to improve nitrogen absorption, utilization, and insulin secretion, especially in critically ill patients with impaired gastrointestinal absorption due to hypoalbuminemia [2]