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As we noted in the proposed rule, a review of similarly timed procedures does not support a work RVU greater than the RUC recommendation of 2.70 and the RUC's valuation for CPT code 64728 is very typical for a procedure code with the same work time values

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7 ClinicalTrials.govTrial registry search: no completed controlled human efficacy trials of the BPC-157 + TB-500 combination

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If no protocol produces meaningful improvement, it is time for medical reassessment, as the herniation may require a different intervention entirely