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The main purpose of Modifier 25 is Significant, separately identifiable E/M service by the same physician on the same day of the procedure. For example, a patient comes in with a sore throat and during the exam, the provider decides to give an intramuscular steroid shot

Higher risk individuals include those with any personal cancer history, strong hereditary cancer syndromes, multiple first-degree relatives with cancer, or those significantly behind on age-appropriate screening

Not sure what scientific backing they have for most of the claims made on their 'learn more' page - most of which looks biased at best - and really not sure where the claim that you will lose the effect of the shot more quickly if you drink more water comes from - never come across any studies that would imply that was true - it also claims that B12 isn't stored in the body and because it is water soluble which is definitely a load of twaddle

However, the prevalence of obesity does not differ between middle-aged adults (4059 years) and older adults (60 + years) [9]