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10.1016/j.ejogrb.2013.11.008 99 KerrJ

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It occurs when fat deposits push through the connective tissue beneath the skin, creating the characteristic dimpled appearance due to fibrous bands (septae) that connect the skin to deeper tissue layers

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The generation of the TMA was retrospective and patient information was de-identified, so a written informed consent was not required as deemed by COMIRB, as per the ethical standard defined by the Declaration of Helsinki

Solution: Coordinate billing between providers and include supporting documentation showing the services were distinct