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The goal is identifying and treating the underlying condition causing the elevation

The first criterion, at 419.66(c)(1), provides that CMS determines that a device to be included in the category is not appropriately described by any of the existing categories or by any category previously in effect and was not being paid for as an outpatient service as of December 31, 1996

[31] Who is at Risk for Deficiency : Vegans and vegetarians are at the greatest risk, due to the fact that B12 is only found in animal foods and cannot be synthesized by the human body

When the approach is transforaminal (needle passed through the neural foramen toward the nerve root sleeve), the correct code is CPT 64483 (transforaminal epidural injection, lumbar or sacral, single level, with imaging guidance)

Common Dose: Around 2-5 mg per week, split into multiple doses

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