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
That conversion depends on liver enzymes and methyl donors such as folate
Its critical to emphasize: high B12 does not cause cancer
units are just the U-100 syringe scale, where 100 units = 1 mL
The mental health services covered by Tricare are anxiety, depression, seasonal affective disorder, post-traumatic disorder, OCD, schizophrenia, and bipolar
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