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In response to commenters' references to the published letter from the Journal of American College of Surgeons, we reviewed the letter [58] and note that while operative times increased for approximately 51 percent of CPT codes evaluated, they remained the same for approximately 38 percent of CPT codes ( and declined for approximately 11 percent

Preservice evaluation time and postservice time both have a long-established intensity of work per unit of time (IWPUT) of 0.0224, which means that 1 minute of preservice evaluation or postservice time equates to 0.0224 of a work RVU

**Skipping the room-temperature step:** Cold powder dissolves poorly and may leave undissolved particles that look like contamination