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Modifier 25 Append modifier 25 to the E/M code (not to 90471) when a separately identifiable evaluation and management service is performed on the same day as vaccine administration

While this idea is somewhat simplified, its intriguing His hypothesis suggests that the sudden influx of B12 can kickstart repair processes, and if there has been long-standing damage, the rapid onset of these processes might overwhelm the system, causing a temporary worsening of symptoms

Supplementary material The supplementary material for this article can be found online at: References 1