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Instead, gently swirl the vial in a circular motion

Nortriptyline is a tricyclic antidepressant which increases the levels of chemical messengers (serotonin and noradrenaline) that stop the movement of pain signals in the brain

## **Billing requirements** Accurate billing for HCPCS code A9585 requires aligning the reported units, modifiers, and revenue codes with Medicare and commercial payer policies - When billing HCPCS A9585, report one unit for every 0.1 mL of gadobutrol injected, ensuring the total volume is clearly documented in the claim to support reimbursement

Such information does not constitute evidence of safety, effectiveness, or suitability for use in living subjects outside properly approved research protocols