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While acknowledging that there is not a 2-times rule violation (given the number of single frequency claims for the procedure), the commenter noted that the GMC for CPT code 31647 is significantly above the GMC of the other procedures assigned to APC 5155 and more than double that for many procedures in the APC

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Increased neutrophilic inflammation and extracellular DNA from sloughed epithelial cells and NETs are also common in COPD and have been correlated with COPD pathology regardless of infection-status or smoking status (Pedersen et al., 2015)

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