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Two other studies also indicated that 6 months supplementation with 2 mg/d folic acid, 25 mg/d vitamin B6, and 400 mg/d B12 had favorable effects on homocysteine, disability, and severity of migraine attacks (54, 60)

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Only after those validated approaches have genuinely been exhausted would DSIP even enter an educational discussion and even then, the framing has to remain that the evidence is weak

Response: In response to comments that it was not clear from the proposed instructions how hospitals should crosswalk the MAO's payment methodology to an MS-DRG for payers that do not use the MS-DRG as a basis of payment, as discussed in the CY 2026 OPPS/ASC proposed rule (90 FR 33808) if there are codes identified that are not MS-DRG codes, or discharges that are not classified to MS-DRGs, the hospital would crosswalk those codes or classify those discharges to MS-DRGs