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Methylmalonic acid (MMA) and homocysteine levels become elevated in B12 deficiency and offer greater sensitivity, particularly for detecting early or functional deficiency, though MMA rises in renal impairment and availability of these tests varies

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As we discussed in the April 2025 Update to the Ambulatory Surgical Center Payment System (Change Request 14017), to limit wage index changes by no more than 5 percent from the final CY 2025 ASC wage index, some counties may require a transition CBSA before being fully reflected in the OMB labor market delineations as set forth in OMB Bulletin No

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