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Response: After reviewing the comments, we appreciate the additional information provided about the second scope to support the need for 10 minutes beyond the standard 30 minutes for CA025 for CPT code 52443, and note that 10 minutes of CA025 conforms with our standard cleaning time for a rigid scope, such as a transrectal ultrasound probe

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50 Based on the review of these 3 RCTs, in addition to the review of another 84 manuscripts of smaller studies, the American Society of Clinical Oncology discourages the use of ALC amongst cancer patients, due to concerns of the risks outweighing the benefits