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Comment: Commenters requested that CMS reassign CPT code 91040 to APC 5724 (Level 4 Diagnostic Test and Related Services)

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Introduction The liver performs hundreds of vital functions such as metabolism of exogenous and endogenous compounds, bile production, and maintenance of blood levels of many substances, including albumin, glucose, amino acids, and vitamins (Trefts et al., 2017)

Reactive Oxygen Species (ROS) are increased by the consumption of sugars and oxidized vegetable oils, smoking, alcohol, exposure to environmental toxins, high or chronic emotional stress, circadian rhythm dysregulation (poor sleep), lack of exercise, infections, and a lack of antioxidant intake