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Last year, two women became critically ill after taking peptide injections offered at a Las Vegas anti-aging festival although an investigation was unable to conclude whether the women were reacting to the peptides themselves or if the injections were contaminated

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of the preamble of this proposed rule, we are proposing to revise the title for MDC 16 (Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders) MS-DRGs 799, 800, and 801 from Splenectomy with MCC, with CC, and without CC/MCC, respectively to Splenic Procedures with MCC, with CC, and without CC/MCC, respectively. Our proposal for Appendix D MS-DRG Surgical Hierarchy by MDC and MS-DRG of the ICD-10 MS-DRG Definitions Manual Version 41 is illustrated in the following tables