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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

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A direct comparison of water-scaled metabolite concentrations to Wijtenburg’s 2014 phase rotation STEAM study is not possible, as values in the latter were reported in “institutional units,” but we note that their CoV for glutamate, GSH and GABA between their two scans were 7.2, 8.6, and 10.5%, respectively, which were higher than values between the 1st sessions of each day in our study, but lower than our results for the 2nd sessions of each day, except for glutamate

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