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The patient presented to the hosipital found severe macrocytic anemia (hemoglobin 60 g/L) with low serum vitamin B12 level and mild proteinuria (proteinuria of 1+).Hence, the diagnosis of megaloblastic anemia was confirmed, which were ameliorated to an extent with red blood cell transfusion and vitamin B12 injections

However, CPT code 78432, which is closely related to CPT codes 78431 and 78433, continues to have low claims frequency and fluctuating geometric mean costs

How should Vitamin B12 Injection vials be stored

The preoperative comprehensive assessment also included an acute challenge with l-dopa to check dopa sensitivity

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