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27 Labata-LezaunN.Gonzlez-RuedaV.Llurda-AlmuzaraL.Lpez-de-CelisC.Rodrguez-SanzJ.BoschJ.et al (2023)

Supported self-management also performed better on most secondary outcomes compared to medical care, including 12% fewer reporting chronic pain that frequently interfered with regular activities
When these nerves are damaged communication begins to break down

The modifier shows that the E/M service was significant and separately identifiable

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