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You would want to set your GPCI and state medicaid settings for your own company location

Use bacteriostatic (not plain sterile) water for a multi-dose vial so the preservative supports the multi-draw window, and reconstitute gently down the vial wall rather than blasting the powder

However, reimbursement depends on medical necessity, documentation quality, payer policies, and NCCI edit compliance

Let the alcohol dry fully before going in skin that's still damp from the swab will sting more than it needs to