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Comment: One commenter said the reference to expected in the CMS proposal should have no impact on the utilization rates of Modifier -55 because Modifier -55 should not be appended to a claim unless post-operative management of patient care has actually occurred

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As such, we stated in the proposed rule that we believe that if a patient requiring dialysis services in the treatment of ESRD has an oral infection, the success of those dialysis services could be compromised if the infection is not properly diagnosed and treated prior to the covered medical services