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Remember the AMA nuance from Section 3: a patient who hasnt achieved their treatment goal is NOT considered stable

The practical rule is that the presence or absence of documented counseling (not the patients age alone) determines whether 90471 or 90460 applies for pediatric patients

Anti-Aging and Cellular Health: NAD levels naturally decline as we age, leading some to explore NAD injections as a way to support cellular repair and overall vitality
