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Here's what matters for your E/M billing: 99213 and other office visit codes are specifically exempt from this adjustment

Areas of application: Vitamin B12 deficiency, which cannot be remedied nutritionally

E., Allsop, J., Isaya, G., Rosenberg, L

This occurred even though only 12.4% in the analysis had a B12 insufficiency (meaning they were at the borderline for a deficiency), and only 3% had a B12 deficiency