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Modifier 25: Significant, Separately Identifiable E/M Modifier 25 attaches to the evaluation and management code, not to CPT code 90471 , when a significant and separately identifiable E/M service occurs on the same day as vaccine administration

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For BPC-157, the agency cited the potential for immunogenicity, peptide-related impurities, problems characterizing the active ingredient, and a lack of safety data for the proposed routes of administration