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Practices that code 99204 accurately when justified, rather than defaulting to 99203, can capture thousands in additional revenue annually

Some of these adverse effects reported were Toxic Epidermal Necrolysis (a rare but life-threatening skin condition characterized by painful blisters and large areas of skin peeling), air embolism, thyroid dysfunction, and liver, kidney, and neurologic toxicity (The dark side of skin lightening- PubMed) With the proliferation of med-spas in an unregulated fashion, there is a risk of inadequately trained or untrained people giving IV injections in a non-sterile way, which can lead to sepsis and transmission of infections like HIV and hepatitis

Kim, J.H., Choi, J.Y., Kim, S.B., Uyangaa, E., Patil, A.M., Han, Y.W., Park, S-Y., Lee, J.H., Kim, K

The treatment can be repeated every 6 months, and many patients experience cumulative improvement with successive courses