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Surgical staplers are used to change the stomach from a sack into a thin narrow tube
It has been my understanding that as long as a physician ordered something for a patient and there is documentation in the chart of that, ie shot of B12 or methotrexate for a diagnosed condition that is being followed by the MD, that it is perfectly acceptable for the nurse to give the injection and charge 99211 with the injection J code even if the MD is not present
Typical B12 Injection Protocol: What You Can Expect If you are a candidate for B12 treatments, you will typically receive a combination of the vitamin mixed with a local anesthetic such as lidocaine
Its the water without minerals, contaminants and other possible contaminants found in a typical tap water