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Grip-intensive movements and repetitive elbow flexion and extension under load are the primary drivers

In another investigation, warm needle acupuncture combined with vitamin and drug injections produced excellent results

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Billing 90837 for sessions documented at 50 minutes is upcoding under CMS guidelines and exposes the practice to RAC audit recoupment across a six-year lookback period at the difference between 90837 and 90834, which is approximately $22 to $27 per session at 2026 Medicare rates