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The rule is seldom enforced, Thiersch said
The lesson: MIC B12 injections address B12 deficiency and support lipotropic function, but they don't compensate for other metabolic deficiencies
As explained in the CY 2026 OPPS/ASC proposed rule (90 FR 33770), although data element feasibility testing was performed at only one REH, the measure was also tested at some rural hospital EDs with similar characteristics of pre-conversion REHs
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E/M services provided on the same date as vaccine administration When an evaluation and management (E/M) service (other than a preventive medicine service) is provided on the same date as a prophylactic immunization, modifier 25 may be appended to the code for the E/M service to indicate that this service was significant and separately identifiable from the physician's work of the vaccine counseling/administration
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