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Sermorelin is considered a growth hormone-releasing hormone (GHRH) analog, whereas Ipamorelin has been described as a selective agonist of the growth hormone secretagogue receptor (GHS-R1a)

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The commenter stated that reassigning these procedures to APC 5593 (Level 3 Nuclear Medicine and Related Services) would restore appropriate payment for similar advanced cardiac imaging modalities and resolve the distorted payment signals (that is, blended geometric mean costs are suppressed by high-volume, low-acuity studies)