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It is imperative to acknowledge that each case may be treated on an individual basis

Agencies must report quality measures to Medicare, demonstrating their commitment to excellence

NCCI Rule 3: Family Therapy and Individual Therapy on the Same Date Require Separate Time Intervals NCCI specifies that 90846 and 90847 may be reported separately from individual psychotherapy codes (90832 through 90838) on the same date of service only when the family therapy is performed as a separate and distinct service during a separate time interval from the individual therapy

Pull the whole thing out and discard straight into the sharps box Step 20

The only responsible conclusion is that oncological safety is unproven