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Ionophores, in their strong selection towards certain bacteria, also select for one of three major products of rumen fermentation, namely volatile fatty acids (VFA), with the main VFA selected for being propionate over acetate and butyrate

however, they should only be used acutely and not for maintenance therapy

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Bolton, Jennifer L., et al

The commenter notes that CPT code 43877, which is also proposed to be assigned to APC 5054, is assigned a status indicator other than T, specifically Q2, to demonstrate that CMS has assigned codes in APC 5054 a status indicator other than T. Finally, the commenter requested that CMS revise the place of service (POS) codes for G0465 to allow for the service to be furnished in the nursing home setting