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Description
When the same provider performs both an evaluation and management service and administers an injection on the same date, the E/M must be appended with Modifier 25 to signal it was a significant, separately identifiable service

Getting dressed in the morning became a calculated process

Greenberg, A

To treat them, you'll probably need shots of vitamin B12 at first, and then you may need to keep getting shots, or taking high doses of a supplement by mouth or nasally
This also prevents accidental disconnection of the needle
