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Payers want to see that the prescriber is following the FDA-approved escalation protocol: starting at 2.5mg weekly for 4 weeks, then increasing to 5mg weekly, with subsequent increases as clinically indicated
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Takeaways It can take years to see the effects of vitamin B12 deficiency anemia
New Instructions CPT retains the instruction from previous years, Fluoroscopic guidance and localization is reported with 77003, unless a formal contrast study (myelography, epidurography, or arthrography) is performed, in which case the use of fluoroscopy is included in the supervision and interpretation codes or the myelography via lumbar injection code. But to aid you with the 2017 code changes, the codebook also now states, Fluoroscopy or CT and any injection of contrast are inclusive components of 62321, 62323, 62325, 62327. Parenthetical instructions following each of these codes explain, Do not report [code] in conjunction with 77003, 77012, or 76942. You may report 62320-62327 only once, per session
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