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For example, CMS article A57452 details billing and coding for these procedures, emphasizing the need for medical necessity documentation

Testing the organic acid, methylmalonic acid, provides a more accurate level of actual usable B12 in patients

Return demonstration of these procedures before discharge helps reinforce the key points for all these functions and ensures that the client and caregiver have adequate knowledge about the implementation of the procedure

In these rare cases, the B12 must then be regularly injected into the muscle as a depot in order to be sufficiently available