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Fix: Only bill a separate E/M service when the documentation supports distinct medical decision-making beyond "patient here for injection." Dose adjustments, side effect management, and review of treatment progress all support a separate E/M service, but they must be documented

Activation (weeks 12): begin at the documented once-daily 330 mcg dose to establish tolerance and observe fluid-balance and injection-site response before committing to a full cycle

TB-500 a synthetic fragment of Thymosin Beta-4, a naturally occurring protein originally isolated from the thymus gland

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Label administration requires an empty stomach, no more than 4 oz of plain water, and a 30-minute wait before food, drink, or other oral medication