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並前往https://ldh.la.gov/assets/medicaid/MCPP/2.23.21/KrystexxaNG-CC-0057_TC.pdf

Clinical Criteria

06/10/201906/15/2020. Status: Revised ... Individual has asymptomatic hyperuricemia; OR. II.III. ... HCPCs and ICD-10 Review: No changes.

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