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The physician should provide information to the patient about the signs and symptoms of hepatotoxiciy that should cause alarm (e.g., nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant tenderness and "flu-like" symptoms)

A general sense of heaviness or lack of physical coordination

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) for the office visit Modifier 25 appended to the E/M code to show that the injection and the E/M were significant, separately identifiable services R23.3 ( Spontaneous ecchymoses ) appended to J3430 and the E/M code to represent the patients bruising condition