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This visit was also a E/M visit and the correct modifier was added

Significant fatigue, vomiting more than once per week, or inability to maintain adequate nutrition are all valid reasons to reduce

10.1002/jcb.27090 67 RenS.ZhangZ.LiM.WangD.GuoR.FangX.et al (2023)
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neuropathy), effective replacement therapy should lead to a normal full blood count and B12 level after 8 weeks of treatment, while improvement in neurological symptoms begins very quickly within one week of initiation of therapy but can take up to 3 months to resolve (Carmel, 2008)
