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Other Modifiers: Depending on the situation, additional modifiers may be required: XE – Separate encounter XP – Separate practitioner 76 / 77 – Repeat procedure (same or different provider) LT / RT – Side of the body JW / JZ – Drug wastage reporting The correct use of modifiers ensures that claims are processed accurately and reduces the risk of denials

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Size:1000 mcg/ml - 30 ml x 1

10, R130