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Three things arent included and must be billed separately: the medication injected (billed via HCPCS J-codes), ultrasound guidance (if used, switch to CPT 20611 with permanent recording and reporting), and a separately identifiable evaluation and management service when a distinct clinical problem is addressed with modifier 25
The trials reported minimal injection site issues, with no concerning patterns of local inflammation, infection, or tissue damage
As it happens, I was in a similar situation to deniseinmilden in that I stocked up with a bulk purchase from Germany prior to the end of the Brexit transition period as I thought this might be the safest thing to do, seeing as it's virtually impossible to source the stuff in the UK from what I can see
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