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If the BMI has dropped below the payer threshold during treatment, continued coverage may require additional documentation showing that discontinuation would likely result in weight regain

Cherny RA, Atwood CS, Xilinas ME, Gray DN, Jones WD, McLean CA, et al

In these situations: The preventive visit code is billed with the appropriate preventive service The problem-focused E/M service is billed separately Modifier -25 is appended to the E/M code Documentation must clearly distinguish the preventive portion from the additional problem-related evaluation performed during the visit

In IBDs, the gastrointestinal mucosa becomes damaged

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