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One commenter asked CMS to elaborate on what we described as potential unintended consequences of adopting this approach, stating that there has been no widespread fraud, abuse, or other unintended consequence resulting from the changed definition of a mental health visit, so there is no logical reasoning on which to base the belief that changing the definition of a medical visit would have those negative results

Mortality rates for older people and those with substantial comorbidities can surpass 20% [10]

The diagnostic criteria for TS were indicated in 1969 by Mazzaferri et al