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Fix: Only bill a separate E/M service when the documentation supports distinct medical decision-making beyond "patient here for injection." Dose adjustments, side effect management, and review of treatment progress all support a separate E/M service, but they must be documented
In addition, post-treatment conception windows are heterogeneous, and the timing of treatment discontinuation relative to conception attempts is rarely standardized
Copay structures change
The most common ones are gastrointestinal, such as nausea, vomiting, diarrhea, or constipation
Sci Signal 2009
What we know comes from preclinical toxicology and post-market surveillance of compounded products
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