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A combined approach should be guided by a healthcare professional and monitored with appropriate labs

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Multiple injections of the same drug in a single encounter are reported as additional units of 96372 with modifier 76 (same provider) or 77 (different provider) Multiple injections of different drugs at the same visit are reported as additional units with modifier 59 for each distinct drug/site The MUE of 3 means Medicare will not reimburse more than 3 injection administration units per provider per patient per day without additional documentation

Nat Methods 9 , 10951100 (2012)

Make sure the area is dry before proceeding

With repeated exposure at each dose level, the nausea response decreases