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Section 5506 of the Affordable Care Act instructs the Secretary to establish a process by regulation that redistributes slots from teaching hospitals that close to hospitals that meet certain criteria, with priority given to certain hospitals including those located in the same Core Based Statistical Area (CBSA), in a contiguous CBSA or in the same state as the closed hospital

Kobori Y, Suzuki K, Iwahata T, et al

Don't append it to an E/M code

The fact that symptoms can persist in previously treated patients, including those with PTLD, does not exclude microbial persistence as a hypothesized etiology of the symptoms