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Also, sadly enough, there also are many types of (chronic) diseases that require B12 injections, such as Pernicious Anemia, people with Crohns, celiac, and people with intestinal imbalances, such as intestinal tapeworms and excessive bacterial growth

E/M services that are separately identifiable and medically necessary can be billed on the same date of service as the injection

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Deficiencies in these vitamins can lead to low B12 levels at a cellular level which is why testing B12 with the MMA test is a good idea

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These different binding partners determine the names of the resultant vitamin B12 forms