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Document what the provider evaluated beyond preparation for the injection to support the separately identifiable E/M
Both factors increased acid and a delayed emptying response can contribute to abdominal pain, nausea, and vomiting
Over-pressuring the vial: Injecting more water volume than the vial can hold creates excess pressure and risks contamination
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There may well be some patients who feel they do fine on 4 injections per year (or dont want to say otherwise) however those patients dont write to me or join support groups
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