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Interventional Pain Management Somatic Nerve Injections What you need to know: Imaging Guidance is now included in the codes below Do not bill separately for imaging guidance as of 1/1/23 Describe the imaging modality guidance that was used, as well as the injection site Note the changes in Work RVUs (wRVUs) and how this may affect reimbursement New Paravertebral Facet Joint Injections Coding/Billing Instructions What you need to know: CPT has provided a new chart and billing instructions for modifier 50 on codes 64490 -64495

However, oral supplementation may be limited by: Gastrointestinal intolerance Malabsorption syndromes Nausea or reduced appetite Medication-related absorption changes IV B-complex: Bypasses gastrointestinal absorption Allows predictable uptake Can be combined with hydration and other supportive nutrients May be considered when oral options are ineffective or poorly tolerated When B-Complex IV Therapy May Be Appropriate B-complex IV therapy is not intended for routine or indefinite use

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