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The fibroids have excessive extracellular matrix components secreted by activated fibroblast cells (myofibroblast)

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doi: 10.1152/physrev.00003.2012 9 CrucianiG.BaroniM.ClementiS.CostantinoG.RiganelliD.SkagerbergB

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Modifier 26 for CPT Code 20220 Modifier 26 is used when the clinician provides only the professional interpretation of the biopsy procedure or imaging guidance while another entity bills the technical component

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It should therefore be determined in consultation with your doctor

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