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https://ars.els-cdn.com/content/image/1-s2.0-S1876107024006011-ga1.jpg oos-deny Terraform Nutrition L-Glutathione 1000mg per Serving Supplement - Free Radical Neutralizer - 30 Servings Size:90 CT not needed for subsequent doses) - Any functional assessment results (e.g., expanded disability status scale results) - Blood test results and imaging test results of the spinal cord showing multiple sclerosis - The exact dosage and route ## **Billing requirements for J2350** Besides the documentation requirements above, please note the following billing requirements for this HCPCS code: - They must reflect the dosage given over the course of the treatment
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