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Use it only when no more specific modifier applies, specifically XU (Unusual Non-Overlapping Service), XS (Separate Structure), XE (Separate Encounter), or XP (Separate Practitioner)

It is also a consistency challenge

Current Gerontology and Geriatrics Research

While not typically used as a primary wound healing treatment, it may support recovery from minor injuries, microneedling procedures , or other skin damage

18 Conversely, an extensive study by Thompson et al
