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Step 4: Document the Encounter Record everything needed to support the code in the medical record: Chief complaint and relevant history Examination findings, to the extent medically appropriate Assessment and plan Total time, if billing by time Telehealth modality and POS code, if applicable Step 5: Select Appropriate Modifiers Append Modifier 25 if billing 99212 on the same day as a procedure

In some instances, applying a cold compress may relieve the pain

Gently, close one side of your nostril with your other index finger and insert the nozzle into the open nostril about half an inch or as far as it feels comfortable keeping your head slightly forward