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Another commenter suggested valuing the code using crosswalk to an add-on (ZZZ Global) code within 20 to 35 minutes of intra-service time such as: CPT code 33268 ( Exclusion of left atrial appendage, open, performed at the time of other sternotomy or thoracotomy procedure(s), any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip) (List separately in addition to code for primary procedure) ), CPT code 32667 ( Thoracoscopy, surgical

Low levels cause protein synthesis to be less effective, resulting in slow muscular recovery and less growth

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The commenters believe this undermined the integrity of MVP reporting and created inconsistencies in clinician access to measures, and recommended CMS consider requiring documented justification for exceptions