Diagnostic Testing for B12 Status Testing is key to figuring out if someone has a B12 deficiency
It is usually given intramuscularly (IM), but IV use may occur in hospitals
Therefore, we proposed to use our authority under section 1833(t)(2)(E) of Act for CY 2026 to continue to assign CPT codes 0648T and 0649T to APC 1511 (New TechnologyLevel 11 ($901-$1000)) with a payment rate of $950.50, which we believed best reflected the cost of the service, based on information provided by the applicant
We will also continue to engage with hospitals, professional organizations, and health IT interested parties to assess feasibility, interoperability, and opportunities to refine the measure and related implementation pathways
Causes of B12 Deficiency Although the requirements of B12 are quite small, it has a complicated absorption process in the digestive tract and, therefore, certain conditions make a B12 deficiency more common