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For patients without clear indication for b12 supplementation, using a compounded combination means paying extra for an additive that may provide no benefit

CMS NCCI edits bundle imaging guidance codes with 64483, meaning the payers claim processing system automatically rejects any claim that bills 64483 alongside the fluoroscopy or CT guidance codes

In fact, the peptide has actually been shown to prevent severe side effects associated with medications for diabetes and psychiatric conditions, including catalepsy, somatosensory disturbance, and QTc prolongation in the heartwhich can lead to fatal arrythmia [13, 14]

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