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Comment: A few commenters commented on our predicted reduction in utilization for existing service codes

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In contrast, the threat presented by physical contact with oil to the mobility of fish inhabiting surface waters immediately beneath a floating oil slick is negligible, although threats are presented to these same fish by other modes of exposure, and threats presented by different components of oil acting through other mechanisms of toxicity may be more substantial particularly for fish early-life stages in surface waters

For example, the medications Zometa and Reclast, which are now both generic alternatives, share the same code J3489 (zoledronic acid) even though they are slightly different preparations and are used for different diagnoses

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