Taking a pill takes seconds, you can do it anywhere, and there are no needles, which matters for anyone with a needle phobia
Common schedules include weekly injections for initial deficiency correction, then bi-weekly or monthly injections for maintenance, or as-needed for energy or performance boosts
CMS and commercial payers require specific documentation of at least one complexity factor to justify the higher-paying code: Small pupil requiring mechanical dilation devices or iris hooks Dense brunescent or white mature cataract requiring additional phaco time/power Weak or absent zonules (pseudoexfoliation syndrome, trauma, Marfan syndrome) Pediatric cataract (under age 18) Prior vitrectomy with compromised posterior capsule support Intraoperative floppy iris syndrome (IFIS) requiring additional maneuvers Audit Warning: Upcoding from 66984 to 66982 without documented complexity factors is one of the most common ophthalmology audit triggers
Hair, skin, and nails: B12 supports cell reproduction, so hair, skin, and nail health can suffer when levels are low
The muscle is injected with the medication (known as an intramuscular injection)