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The late phase (36 to 84 hours after exposure) is characterized by ALF (hemorrhage, marked hypoglycemia, HE, and terminal coma) caused by severe massive hepatic necrosis (see Figure 61-20)

This assumption is supported by 2022 Medicare utilization data for the infectious disease specialty, available on the CMS website under downloads for the CY 2025 PFS final rule at If we take the commenter's suggestion and use CPT code 99215 in our analysis to represent the high MDM O/O E/M visit, this would decrease the work RVU for ( HCPCS G0545 (that is, the work RVU of CPT code 99223 divided by the work RVU of CPT code 99215, 3.50 divided by 2.80, which equals 1.25

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Thus, based on the growth rate, pigment production, enzyme activity, and growth on different media, the bacteria were consistent with the characteristics of rapidly growing mycobacteria, which are the majority of NTM infections reported in China