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C., & Covey, LS (2015)

The proposed methodology for excluding payment amounts for HCPCS and CPT codes exhibiting SAHS billing activity, as described in section III.G.7.d of this proposed rule, is anticipated to be utilized only in rare and extreme cases where a number of criteria are satisfied, including that the level of billing represents a significant claims increase representing a deviation from historical utilization trends that is unexpected and not clearly attributable ( to reasonably explained changes in policy or the supply or demand for covered items or services during a limited time period

Then, the sperm samples were analyzed according to the WHO laboratory manual (WHO, 2010)

From staining and cavities to gum disease, tooth loss, and oral cancer, tobacco use is one of the biggest threats to oral health