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PMID: 26449607

doi: 10.1096/fasebj.12.2.209 80 TsongTYLiuDSChauvinFAstumianRD

Submitting CPT 90785 on claims where the progress note doesn't identify which of the four qualifying criteria applied, or states only that "the session was complex." Post-payment audit denial of the add-on plus repayment demand for all 90785 claims in the lookback period where documentation doesn't meet criteria