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The CMS NCCI Policy Manual 2026, effective January 1, 2026, states that a patient being new to the provider isnt sufficient by itself to justify billing an E/M service on the same date as a minor surgical procedure

10.1371/journal.pone.014773726836389 319 Huang Z, Hong Q, Zhang X, et al

Lipid exchange between Borrelia burgdorferi and host cells

Acta Pathol Microbiol Scand B

References Guo, Q., Y

Melatonins role as an antioxidant, chronobiotic, mitochondrial regulator, and improving glymphatic flow are mechanisms that can stop the progression of PD (11)