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The short version is that these are not competing drugs

ICD-10-PCS Section X Codes for Certain New Medical Services and Technologies As discussed in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49434), the ICD-10-PCS includes a new section containing the new Section X codes, which began being used with discharges occurring on or after October 1, 2015

Both NAC and glutathione are generally considered safe when taken in appropriate doses

An increasing trend over time in SDMA or creatinine concentration, or persistently elevated serum SDMA concentrations, are also recognised as diagnostic for early, non- azotaemic CKD (see iris-kidney.com)

GRP78: 78 kDa glucose-regulated protein