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Modifier 59 is only appropriate when documentation clearly describes the separate joint, separate technique, and separate clinical indication

Mov Disord 33(5):762770 Clarke R, Daly L, Robinson K, Naughten E, Cahalane S, Fowler B et al (1991) Hyperhomocysteinemia: an independent risk factor for vascular disease

Patient response and complications: Post-procedure assessment, any adverse events, and post-procedure instructions given

J Neurochem 157:919929 Jursky F, Nelson N (1996) Developmental expression of the glycine transporters GLYT1 and GLYT2 in mouse brain