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Had sort of assumed it was to do with risks of cross contamination but thinking about how others have described the process of doing an intra-muscular injection I think different sized needs are used to draw the fluid in to the syringe - probably a wider one - and then a finer one to inject

While most patients tolerate B12 shots well, mild side effects can occasionally occur, including minor pain or redness at the injection site, mild diarrhoea, or, in rare instances, an allergic reaction

But if the doctor scribbles neuropathy on the superbill or types G62.9 in the assessment box without linking it to diabetes in the note, the coder is stuck

As a result, tears occur around the blood vessels, causing the thick fluid to potentially leak out and accumulate on one side