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Monthly injections are well suited to maintenance, keeping already-healthy levels healthy, but they are often not enough during the correction phase for someone who is significantly deficient

The dosage may vary depending on your personal health situation and how you respond to the medicine

Append modifier 50 for a same-session bilateral procedure to the code CPT 27447

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Therefore, to be eligible for the biventricular pacemaker, heart failure patients must: Have severe or moderately severe heart failure symptoms Be taking medications to treat heart failure Have the LV/RV synchrony problems mentioned above (your doctor can usually determine this using ECG testing) In addition, the heart failure patient may or may not need this type of pacemaker to treat slow heart rhythms and may or may not need an internal defibrillator (implantable cardioverter defibrillator, or ICD), which is designed to treat people at risk for sudden cardiac death or cardiac arrests

It is important to note that this code can only be used once per visit, regardless of the number of injections given