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Three things arent included and must be billed separately: the medication injected (billed via HCPCS J-codes), ultrasound guidance (if used, switch to CPT 20611 with permanent recording and reporting), and a separately identifiable evaluation and management service when a distinct clinical problem is addressed with modifier 25

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Structural abnormalities, bone-related problems, and advanced degenerative changes show limited response regardless of treatment duration

For those who do not respond to these treatments, alternative options like intracavernosal injection of prostaglandins can be effective

Dispose of the needle properly in a sharps container