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Mistake 6: unrealistic expectations The Wolverine name sets up expectations that reality cannot match

Here's when each modifier applies: No modifier needed: the injection is the only service provided at the visit Modifier 25 needed: a separately identifiable E/M service is performed the same day Modifier 59 needed: multiple distinct injections are given at the same visit involving different drugs at different sites Modifier 76 needed: the same injection is repeated by the same provider on the same date of service Modifier 77 needed: a different provider repeats the same injection on the same date One warning that trips up a lot of billers: appending Modifier 59 to an E/M service code is incorrect

This advice is also in line with best practice, where this approach is now becoming largely recommended

For Canadian users, domestic suppliers offer advantages including faster shipping times, reduced customs concerns, and accountability under Canadian regulations