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While we are proposing certain exceptions to the initiating visit requirement for APCM services, we note that an initiating visit may still be needed even when not required, and the billing practitioner can always furnish and bill for medically necessary visits, including before initiating APCM services

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Since the nerve endings have been exposed, the most characteristic symptom is an intense sharp pain which does not subside with common painkillers and usually appears between the first and third day after the procedure

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