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The amino acid load from arginine HCl can disturb electrolyte balances, for instance, infusions have been observed to provoke hyperkalemia (elevated potassium levels) in patients with compromised liver and kidney function, and serious adverse events (including fatal cardiac arrhythmias) have been reported in such settings

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