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Fix: Only bill a separate E/M service when the documentation supports distinct medical decision-making beyond "patient here for injection." Dose adjustments, side effect management, and review of treatment progress all support a separate E/M service, but they must be documented

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3,4 Importantly, interindividual responses may vary due to the oral nitrate-reducing microbiome, as antibiotics or antibacterial mouthwash can inhibit the conversion of nitrate to nitrite