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Section I.C.6.b.4 states that the healthcare providers documentation must be considered as a guide to assigning these codes

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Optional ice: Apply cold pack to injection site for 30 to 60 seconds if you are prone to reactions Pinch: If lean, pinch a fold of skin at the injection site Insert: Quick, dart-like insertion at 90 degrees Inject: Slow, steady depression of plunger or pen button