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Advanced research into immune evasion, persistent bacterial debris, and neuroinflammation has proven that the symptoms of post-treatment Lyme disease syndrome (PTLDS) are biologically real and measurable

Nonetheless, their long-term systemic impact and frequent use alongside or after chemotherapy justify their inclusion in comprehensive toxicity evaluations

Consequently, the requestor stated the continued assignment of these conditions to MS-DRG 123 does not properly recognize disease complexity and understates the resource utilization associated with administering critical (potentially vision-saving) treatments for these cases
doi: 10.21037/tcr.2019.06.13 197 ShiueS-JChengC-LShiueH-SChenC-NChengS-WWuL-Wet al