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The same payer analytics that flag D64.9 overuse also catch contractual adjustment patterns, which our denial code patterns guide covers across the CO denial family

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Continued use beyond this period is only recommended if clinically indicated, such as in patients with persistent GORD or confirmed oesophagitis

Prolonged diagnostic pathways may also contribute to disease progression, including the development of deep infiltrating disease and adhesions, which can complicate treatment and reduce reproductive outcomes

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