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Wiki site requirement for 96372

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Before I start a fire storm at new job, is the site required for documenting an injection? At previous it was as in..injection to left deltoid, patient was observed 5 minutes no adverse reaction..here it's just typically stated as intermuscular and that's all

Thanks in advance!
 
The site is not necessary for coding purposes in that the information does not affect the code choice or value of the work performed, but it is a documentation quality issue. Personally I wouldn't create a 'fire storm' over it, but I would bring it up as feedback to the providers and offer it as a way to improve documentation and help protect themselves in the event that the records are scrutinized by a payer or other unsympathetic party.
 
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