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Pasquali R, Ambrosi B, Armanini D et al (2002) Cortisol and ACTH response to oral dexamethasone in obesity and effects of Sex, Body Fat Distribution, and dexamethasone concentrations: a dose-response study

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The answer to can you bill cpt code 20610 twice in a single encounter depends on whether the two procedures were performed on different joints: two different joints mean two separately reportable units of CPT 20610 with appropriate modifiers, while the same joint treated twice means one unit regardless of how many times the needle was inserted