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All stimulants and even nonstimulant medications, such as bupropion, can have adverse reactions (such as MI, cerebrovascular accidents, or sudden death), so a detailed cardiac history and family cardiac history should be performed, and individual risk factors should be assessed in each patient (including smoking history, weight, and other risk factors for MI)

Choosing between 90460 and the 90471 CPT code in a pediatric practice is a revenue-cycle decision, not just a coding question

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