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Removal from Category 2 is not the same as listing on 503A
For patients with absorption issues from Crohns disease, celiac disease, or prior gastrointestinal surgery, B12 injections offer an effective way to restore healthy levels
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Once we have determined that a particular code combination of J1 services (or combinations of J1 services reported in conjunction with certain add-on codes) represents a complex version of the primary service because it is sufficiently costly, frequent, and a subset of the primary comprehensive service overall according to the criteria described above, we promote the claim including the complex version of the primary service as described by the code combination to the next higher cost C-APC within the clinical family, unless the primary service is already assigned to the highest cost APC within the C-APC clinical family or assigned to the only C-APC in a clinical family
Do not assign D51.0 without documented antibody testing (intrinsic factor antibodies or parietal cell antibodies) or Schilling test confirmation
There are quality and safety concerns around compounded or otherwise unregulated products, including immunogenicity and impurities depending on route and manufacturing quality
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