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Simply writing "Patient here for injection, vitals taken, injection given" does not support a separate E/M code
Use a vehicle control: keep the solvent level the same in treated and control samples
That extra step can prevent confusion between micrograms, milliliters, and total vial contents
But only a maximum of 5mcg of B12 enters the bile every day (according to "Advanced Haematology" 7th edition textbook, page 60), so it seems that only an additional 5mcg would be lost daily if none was recovered
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