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Heres the process: Review the denial reason code (common ones: CO-4, CO-97, CO-16) Pull the original note and compare against MDM or time requirements Write an appeal letter citing specific documentation that supports the billed level Include AMA CPT guidelines as reference Submit within the payers appeal window, typically 90 to 180 days Miss that deadline, and the revenue is gone permanently

Usually, this will be close to 0 degrees of flexion immobilization in excessive degrees of flexion should be avoided to prevent a flexion contracture but each joint should be assessed individually

While uncommon, awareness of this possibility ensures prompt care if symptoms develop

The limitation of this study is that it only tested one dose and did not compare it with positive controls given anti-depressants