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[34] Neurological symptoms: sensory or motor deficiencies (absent reflexes, diminished vibration or soft touch sensation) and subacute combined degeneration of the spinal cord

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Prior B12 values show whether the elevation is persistent or already on its way down, and any CBC, liver tests, or renal function already on file may point to a cause before anything new is ordered

CMS NCCI Version 32.0 governs current bundling rules for this code, and those rules are updated quarterly