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Protocol Changes: Based on the nature and severity of side effects, several protocol changes may be appropriate

doi: 10.1111/jdv.13814 50 Hallen-AdamsHESuhrMJ

For adverse effects during correct therapeutic use, code the manifestation followed by Y42.3

This is where it gets tricky

CMS solicited comments on nine versions of the standardized Annual Notice of Change and Explanation of Coverage documents to be used by different types of MA plans: Health Maintenance Organization, Cost, DSNP, Medicare-Medical Savings Account, Private-Fee-for-Service, Preferred Provider Organizations, Preferred Provider Organization with Prescription Drugs, Health Maintenance Organization with Prescription Drug, and Prescription Drug (CMS, 2017d)

Privacy considerations Found doesnt disclose too much regarding privacy protections, but it is HIPAA compliant