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Dont use it when the E/M led to the decision for major surgery, where modifier 57 belongs

Most recent evidences underline that inflammation may even precede fat accumulation, which would become only a response (12, 13)

Local and systemic inflammatory lipid a profiling in a rat model of osteoarthritis with metabolic dysregulation
[DOI] [PubMed] [Google Scholar] 76.Takahama U, Imamura H, Hirota S