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Billing an E/M code on the same date as 96372 without Modifier 25 on the E/M triggers an automatic bundling denial in most payer systems

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Qualifications vary by state, but key indicators of a legitimate operation include: a named medical director who actively oversees clinical protocols, licensed nursing or medical staff performing injections, a thorough intake process that includes health history and allergy screening, and compliance with state Board of Medicine regulations regarding injectable treatments