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Two reasons in the documented cadence

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These are typified by the following two enzymes: Methylmalonyl-CoA mutase [edit] Methylmalonyl coenzyme A mutase (MUT) is an isomerase enzyme that uses the AdoB 12 form and reaction type 1 to convert L-methylmalonyl-CoA to succinyl-CoA, an important step in the catabolic breakdown of some amino acids into succinyl-CoA, which then enters energy production via the citric acid cycle

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These commenters stated that because of coding practices it may not be feasible to assign CPT-4 or HCPCS Level II codes within this timeframe as well as submit patient files to vendors with sufficient time for the vendor to process files, confirm patient eligibility, and issue invitations