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Cognitive Impairment: Difficulty thinking clearly, memory loss, confusion, and other cognitive changes may manifest

This can lead to different kinds of anemia, fatigue, weakness, tingling in the fingers and toes, numbness, irregular heartbeat, mood swings, shortness of breath, very pale skin, memory loss, confusion, and more

Be concerned if spasms occur multiple times per week, are severe or long-lasting, affect multiple body areas, are accompanied by muscle weakness, numbness, or tingling

Modifier 51 Multiple Procedures Modifier 51 is used when 20610 is performed alongside other procedures in the same encounter

doi: 10.1126/SCIENCE.1142358 50

A variety of medications may be ototoxic (damage the ear) and cause tinnitus