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Description
According to CMS Article A57589, diagnosis code selection must align with the anatomical site and clinical presentation documented in the encounter note

The frequently low cobalamin levels in dementia usually signify treatable metabolic, neurologic and electrophysiologic abnormalities
10.3389/fmicb.2022.881050

Effectively, it seals itself
Nursing care: Use proper IM technique, rotate sites, educate patient on side effects and schedule