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The commenter also stated that additional empiric information from the clinical literature highlights the similarities in the duration and intensity of physician work between CPT code 52597 and laser enucleation of the prostate, which is typically performed with a Holmium laser (HoLEP), and coded as CPT code 52649

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Vasoactive Intestinal Peptide, Whose Receptor-Mediated Signalling May Be Defective in Alopecia Areata, Provides Protection from Hair Follicle Immune Privilege Collapse