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Modifier 59 goes on the additional injection code, not on the E/M code

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The plasma concentrations of homocysteine (17.54.9 vs 12.03.8 mol/l) and also of glycine (19437 vs 14341 mol/l) and glutamine (42251 vs 35351 mol/l) were significantly higher in patients with anorexia nervosa who were not deficient in folic acid, vitamin B 6 and B 12

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