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Increased TSH fosters cAMP synthesis, which in turn initiates cAMP-dependent protein kinase signaling systems, to potentiate EGF-mediated cell proliferation, stimulating thyroid cell growth and promoting tumor cell proliferation, invasion and metastasis (8688)

T., Phatak, P., Makley, M

They requested that CMS either map the complexity adjustment 6471R back into the Level 1 Nerve Procedures APC (APC 5431) or alternatively develop a level 3 APC that could accommodate some of the higher cost procedures in the current Level 2, such that there was less of an impact on some portion of the procedures

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