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25 A more recent Cochrane review of the pharmacologic treatment of low back pain (also not specific to lumbar spinal stenosis) found that NSAIDs, muscle relaxants, and opioids had a small effect on pain reduction, but use of muscle relaxants and opioids was complicated by a significant risk of adverse effects

In the CY 2017 OPPS/ASC final rule with comment period (81 FR 79719 and 79725), we created modifier PN to collect data for purposes of implementing section 603 but also to trigger payment under the newly adopted PFS-equivalent rates for nonexcepted items and services

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[1] Plain sterile water has no preservative and should be used right away