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While we did not question whether the ureteroscope itself is integral to the service furnished, we questioned whether the MEMS pressure sensor, the mechanism which the applicant asserts is the distinguishing feature of the LithoVue TM Elite Ureteroscope, is integral to the service furnished in accordance with 419.66(b)(3), because pressure monitoring during ureteroscopy procedures appears to be purely additive and not necessary to furnish the ureteroscopy

doi: 10.1097/bs9.0000000000000117

Therefore, it appears that there is a dynamic requirement for GH and IGF activity as follicles mature and grow

Optional laboratory analysis will specify the exact count and type of bacteria present