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E/M codes for emergency department (ED) visits depend on the level of service rather than patient status

(PubMed) Baik HW, Russell RM

However, pain that becomes more severe, spreads into the shoulder, limits arm movement, or continues for weeks may indicate something beyond routine post-vaccination discomfort

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Okay that is the most non-scientific definition Ive ever heard

This documentation must come from the prescribing provider and typically needs to specify the clinical reason for compounding, such as: Allergy to an inactive ingredient in the commercial product Need for a dose not available in commercial presentations Documented intolerance to the commercial delivery device Billing compounded tirzepatide through the pharmacy benefit uses standard pharmacy claim formats (NCPDP) with the compounding pharmacy NDC