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However, do not discontinue prescribed B12 treatment without medical advice, particularly if you have pernicious anaemia or confirmed deficiency, as untreated B12 deficiency can lead to irreversible neurological damage

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doi: 10.1016/j.ejim.2008.01.016

It is important to note that it is more or less a universally accepted principle by all payersMedicare as well as commercial insurersthat erythropoiesis-stimulating agents (ESAs) do not qualify as highly complex drugs , and therefore the injection should be billed with 96372 and not as a chemotherapy administration