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Actually, the person writing this serious accusation does not realize that approximately half the people with symptomatic B12 deficiency have serum B12 concentrations within the so-called normal range for the general population

Modifier 59: Distinct Procedural Service for Multiple Injections Same Visit Modifier 59 is used when CPT code 96372 is reported more than once on the same date to indicate that each injection represents a distinct drug administered at a separate anatomical site or for a distinctly separate clinical indication

You can try and encourage dietary changes and/or B12 supplements, but because B12 is so important to the nervous system, I almost always provide B12 injections for three months to boost brain repair, followed by a sublingual maintenance formulation

If B12 levels are already within a normal range, additional B12 may not lead to noticeable changes in energy or performance