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Per CMS NCCI Policy Manual Chapter IX effective January 1, 2026, ultrasound guidance code 76942 is not separately reportable alongside CPT 20611 because ultrasound guidance is inherent to the CPT 20611 procedure

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doi: 10.1016/j.jaci.2017.04.030

If fatigue persists despite these interventions, or if it is accompanied by other concerning symptoms, further medical evaluation is warranted to exclude alternative diagnoses

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In the absence of clear evidence, simply targeting the absence of seizures may minimize iatrogenic harm