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The period that the code relates to is between needle placement and removal

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Once the needle is in the muscle, the plunger is pulled back slightly to ensure the needle is not in a blood vessel

Patients often experience new or worsening symptoms during acute flares but usually do not require emergency care

If one or more is not, I think carefully about whether to delay further or to proceed with adjusted perioperative risk management (for example, extended DVT prophylaxis)