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Swab the planned injection site gently with the alcoholic swab and allow to dry Step 16

Billing CPT 20610 with modifier RT (right side) alongside M17.12 (primary osteoarthritis, left knee) creates a laterality conflict that payers identify through automated claim edits, resulting in a CO-16 or CO-50 denial that requires clinical documentation review before resubmission

Statements Author contributions GL wrote the manuscript
