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This is the critical difference from plain sterile water

The dosing is twice daily (1000mcg total), which aligns with effective dosing ranges seen in research

But if you report any other E/M code on the same day of service, and properly append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service to indicate a significant, separately identifiable E/M service was provided, the claim may be paid

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