Injections or infusions diagnostic & therapeutic procedures G389 - Infusion of gamma globulin, initiated by physician, including preparation per patient, per day

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1. Central neuropathic pain is pain caused by a primary lesion or dysfunction that affects the central nervous system.
2. At the time of this amendment to the Schedule of Benefits, generally accepted medical therapy that would be required prior to G387 is treatment with both a tricyclic antidepressant and at least one anticonvulsant.
3. For Intravenous drug test for pain, see Z811 p. X1.