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In those cases, modifier -25 should be added to the E/M code to show it was distinct from the injection administration
doi:10.2174/1570159X17666191120154128
doi: 10.1016/S2213-8587(19)30422-X
19 Clinical features SLE and pSS have various comparable clinical manifestations and organic involvements, such as fever, fatigue, adenomegalies, photosensitivity, Raynauds phenomenon, palpable purpura, arthralgia, nonerosive symmetric polyarthritis, myositis, hemolytic anemia, leukopenia, lymphopenia, thrombocytopenia, interstitial pneumonitis, renal tubular acidosis, and peripheral neuropathy
