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Insufficient specificity. It signals a lack of clinical detail

The claim looks like this: 90471 + influenza vaccine code = flu shot administration 96372-59 + J3420 + ICD-10 E53.8 = B12 injection administration That Modifier 59 on 96372 is what keeps the second administration code from being bundled into the first

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Loftfield E, Cornelis M, Caporaso N et al (2018) Association of coffee drinking with mortality by genetic variation in caffeine metabolism: findings from the UK Biobank