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It may get worse: After standing or sitting During certain times of the day, such as at night When sneezing, coughing, or laughing, especially if caused by a herniated disk When bending backward or walking more than a few yards or meters, especially if caused by spinal stenosis When straining or holding your breath, such as during a bowel movement Exams and Tests The health care provider will perform a physical exam

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Items of note about codes 90460 and 90461 To correctly report vaccine counseling and administration with these codes, it is important to recognize what the codes do and do not include: These codes are limited to immunization administration, meaning purchased vaccine products must be separately reported

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