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Department of Health and Human Services, ods.od.nih.gov/factsheets/VitaminB6-HealthProfessional/

Modifier 59 (Distinct procedural service): Use when billing 62323 alongside another spinal injection code on the same date (e.g., 64483 at a different level or anatomical site) to indicate the procedures are distinct

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and K.R., planning, design, conduct, critical input at all stages of the study, and interpretation