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Lastly, you will need to append modifier 25 ( Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service ) to the E/M code to show that the injection and the E/M were significant, separate services

In addition, B12 deficiency can result in Megaloblastic Anemia, a type of anemia in which the red blood cells grow without dividing, becoming enlarged