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The following two APCs appeared in Table 12 of the CY 2026 OPPS/ASC proposed rule (90 FR 33537) as violating the 2 times rule

J Can Dent Assoc

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While PCS is more often discussed in adults, research shows that it can and does occur in children and adolescents (14, 15), though it may be under-recognised or misattributed to behavioural or emotional issues

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The saturation heuristic is best understood as a plausibility argument for why a figure near 100 mcg is not obviously absurd, not as evidence that it is correct

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