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This includes people with: Pernicious anaemia (autoimmune destruction of intrinsic factor-producing cells), typically requiring lifelong IM injections Crohn's disease or surgical resection affecting the terminal ileum Coeliac disease causing malabsorption (may improve with gluten-free diet) Chronic pancreatitis reducing enzyme availability needed for B12 release Vegans and strict vegetarians need reliable B12 sources through fortified foods or supplements, as plant-based diets contain negligible amounts of active B12

The April 2026 release is the current version Per the CMS NCCI Policy Manual , verify edits before submitting multiple units Step 9: Enter the Correct Place of Service Code POS 11 (Office): the physician bills CPT 96372 separately POS 21, 22, 23, and 19 (Facility settings): the physician does not bill 96372 separately In facility settings, the facility bills the injection administration

Chen L, Shi XJ, Liu H, Mao X, Gui LN, Wang H, Cheng Y

Shingles vaccine linked to lower heart attack, stroke risk