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Consistent with this proposal, we are also proposing to modify our calculation of the adjustment to account for the CAR T-cell therapy cases identified as clinical trial cases in calculating the national average standardized cost per case that is used to calculate the relative weights for all MS-DRGs: Calculate the average cost for cases assigned to MS-DRG 018 that either (a) contain ICD-10-CM diagnosis code Z00.6 and do not contain condition code ZC or (b) contain condition code 90 (or, for FY 2024 ratesetting, condition code ZB)

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INGREDIENTS: Vitamin C, amino acids (glutamine, ornithine, arginine, lysine HCL, citrulline, levocarnitine), essential minerals (magnesium chloride, zinc, manganese, copper gluconate, sodium selenite), vitamin blend (B1, B2, B3, B5, B6) and B12

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Indigestible dietary fibers in the intestine are metabolized by the gut microbiome into SCFAs such as acetate, propionate, and butyrate, and they have an anti-inflammatory effect on the colonic mucosa