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Vertebral plate-biting forceps were used to remove the ligamentum flavum from the vertebral plate gap, exposing the dural sac, walking nerve root, and herniated disc (Fig

However, reimbursement is only possible when: The injection is not bundled into another procedure Documentation clearly supports medical necessity Correct modifiers and codes are used Failure to meet these conditions often results in denials or downcoding

Check your plan type Pro tip: Ask HR if your plan is "self-funded" if so, your employer decides coverage, not Aetna

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This association remained robust after adjusting for confounding factors and was consistent across different analytical models