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Also this same situation is happening when pt comes in for ESWL (50590) w/ 90 day global, & the same injection is administered as above

(8) Long-term vitamin B12 deficiency can cause permanent nerve damage and neurological symptoms

Does Medicare cover B12 shots

The question is cpt code 20610 a bilateral procedure has a two-part answer: the code is unilateral by default, and bilateral billing uses either modifier 50 or separate RT/LT lines depending on the payer

Regardless of the cause of the deficiency, initial treatment with parenteral B12 was regarded as the first choice for patients with acute and severe manifestations of B12 deficiency