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We indicated that some hospitals' charges do not reflect market rates

For wellness-focused users, a methyl b12 nasal spray can be part of a long-term stack, but labs (B12, MMA, homocysteine, CBC) and periodic check-ins with a clinician are still important

The AAFP notes that the CPT Editorial Panel revised E/M guidelines in 2021 and expanded changes in 2023

We note that if hospitals have questions about appropriate coding that they cannot resolve on their own, the initial first step would be to review the HCPCS code descriptors or consult the appropriate Medicare Administrative Contractor (MAC) for their jurisdiction

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