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Waldschmidt HV, Bouley R, Kirchhoff PD, Lee P, Tesmer JJG, Larsen SD

The payer sees two services for what looks like one encounter and pays only the higher-weighted one

How Modifier 59 Differs from Modifier 91 Unlike Modifier 91, which specifically indicates the repetition of a diagnostic test or procedure, Modifier 59 is used to indicate separate and distinct services

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Safety and Considerations Minimal Side Effects Vitamin B12 injections are generally considered safe with minimal side effects

A substantial and necessary reduction in the high number of injections of B12 administered to the patient was also brought about