It is distinguished from other codes, such as CPT 20600, which is for less complicated aspirations or injections of major joints without the use of ultrasound guidance, and CPT 20604, which is for smaller joints, such as those in the fingers or toes
Most patients experience a minor pinch, but there is not a lasting ache that is usually felt with a vaccine shot (which is injected deeper into the muscle)

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Para O, Crispino P, Barone N et al (2018) Sex differences in adverse drug reaction and liver disease
MicroRNA diagnostic panel for Alzheimer's disease and epigenetic trade-off between neurodegeneration and cancer