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Pro Tip When a post-gastrectomy patient presents with multiple complications at a single encounter, list the complication with the highest resource utilization as the principal diagnosis, then add Z90.3 as a secondary code

Medicare reimburses 99204 roughly $14 more per encounter

We would have liked to have used a larger amount of water, but the smallest vac we tested has a 2-gallon capacity, so we stuck with that

Instructions At the beginning of the treatment, 1 ampoule with 1 mlvitamin B 12 Lichtenstein (corresponding to 1000 micrograms of cyanocobalamin) is added twice a week in the first weeks after diagnosis