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May 13, 2011 · Appendix L - Guidance for Surveyors: Ambulatory Surgical Centers Q-0061 (Rev.71, Issued: 05-13-11, Effective: 5-13-11-Implementation: 05-13-11) §416.42(a) Standard: Anesthetic Risk and Evaluation (1) A physician must examine the patient immediately before surgery to evaluate the risk of anesthesia and of the procedure to be performed.

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