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Under current E/M guidelines (effective January 2021), 99212 requires a "medically appropriate history and/or examination." The examination is documented to the extent clinically relevant but is NOT used to determine the code level

45 Also, ENK/T-cell lymphoma was characterized by EBV infection of T or NK cells, which express a latency II pattern with variable LMP1 expression

Loss of GLAST or GLT-1 led to elevated extracellular glutamate levels, neurodegeneration, and progressive paralysis, and loss of EAAC1 caused mild neurotoxicity and resulted in epilepsy [149]

In summary, monitor the injection site (if pain increases or the area gets very red, hot, and swollen, inform your doctor as that could indicate injection-site infection, which is exceedingly rare with proper technique)

They can often be relieved with allergy medications
