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Your doctor may order tests, including: Blood tests, including levels of IgG4 antibodies (though high levels alone aren’t enough) MRI or CT scans to look for swelling or inflammation in the brain, sinuses, or other tissues Doctors sometimes perform a biopsy (tissue sample) to confirm inflammation patterns typical of the disease
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Code 45380 may be billed separately with modifier 59 or XS to indicate a distinct site, subject to payer bundling rules and the multiple endoscopy rule
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State which documented steps you already followed if relevant. Keep the original condition documented before any agreed intervention.
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