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Generally, a level of billing for a given HCPCS or CPT code is considered SAHS billing activity when a given HCPCS or CPT code exhibits a level of billing that represents a significant claims increase, either in the volume or dollars, with national or regional impact, and represents a deviation from historical utilization trends that is unexpected and is not clearly attributable to reasonably explained changes in policy or the supply or demand for covered items or services

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Standard dosage: 200400 mg silymarin daily, divided into 23 doses Ideally taken before meals For liver stress: up to 420 mg silymarin daily may be appropriate only after medical consultation Alcohol should be avoided during intake Milk thistle preparations during pregnancy and breastfeeding should only be taken on the explicit recommendation of a doctor or midwife

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