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Wait until side effects resolve before moving up

Code year: FY2026 (Oct 1 2025 Sep 30 2026) Audience: Certified Coders, Auditors and Clinical Documentation Specialists Access: CCO Members Last updated: April 2026 Definition Deep vein thrombosis (DVT) is the formation of a blood clot (thrombus) within a deep vein, most commonly in the lower extremities the femoral, popliteal, iliac, tibial, or peroneal veins but also occurring in the upper extremities (brachial, radial, ulnar, axillary, subclavian, internal jugular veins) and less commonly in other sites (vena cava, renal vein, hepatic vein, cerebral sinuses)

Underactive thyroid (hypothyroidism) : There is a concern that propionyl-L-carnitine might make hypothyroidism worse or thyroid hormone treatment less effective

CMS NCCI Version 32.0 governs current bundling rules for this code, and those rules are updated quarterly

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