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For patient-supplied medications, the practice doesn't bill the J-code since the drug wasn't supplied by the practice, but the drug name and dosage must be documented in Box 19 on the CMS-1500 or in the equivalent 837P field

Vitamin B12deficiency can manifest itself in the following clinical pictures: Hyperchromic macrocytic megaloblastic anemia (perniciosa, Biermer anemia, Addison's anemia these are disorders of the maturation of red blood cells) Funicular spinal disease [damage to the spinal cord] A vitamin B12deficiencyconfirmed by laboratorydiagnosis can occur in: Years of malnutrition and malnutrition (e.g through strict vegetarian diet)

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