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A modifier should not be added to a Healthcare Common Procedure Coding System (HCPCS)/CPT code solely to bypass an NCCI PTP edit if the clinical circumstances do not justify its use

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I have self injected upper arms for the last three or so years now,Ive did hundreds of injections and the only time I feel pain is if Im lucky enough to have a nurses appointment,other than that I feel totally in control of any pain risks and although I admit I still hate doing them its not because its painful its just needle phobia in my case