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When a diagnostic selective nerve root block (DSNRB) is performed instead of a therapeutic TFESI, modifier KX distinguishes the service from a standard epidural injection, and the procedure note must specify whether the injection is diagnostic (contrast and anesthetic only) or therapeutic (anesthetic and/or steroid)

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This emphasizes the significant role of vitamin B12 in DNA synthesis, myelin sheath maintenance, and cell metabolism, underscoring its essential contribution to promoting good health