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The physicians notes should include: The number of trigger points treated The muscles involved The technique used for the injection The specific medications or agents used Whether the procedure was bilateral (for modifier 50) Without sufficient documentation, the payer may deny reimbursement or request additional information

(2.1) Maximum dosage (2.1): Adults: 15 mg subcutaneously once weekly

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Since multiple injections are usually required, the total cost of treatment can be significant