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Youve got two billable services here: The E/M visit (because the provider evaluated the patient) The injection (96372) In this case, youd bill both but youd attach modifier 25 to the E/M code to let the payer know that this was a separate service and dont bundle it in with the injection

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Oral B12 supplements have to pass through the gut, and absorption can be limited especially if you have digestive issues, take certain medications like metformin or antacids, or simply have low stomach acid