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When pain is prolonged or more than mild, it is usually the result of a pH problem due to a bad batch of methyl-B12 shots

Replace it with a specific D51.0D51.8 code once the cause is identified

Higgins JPT, Thomas J, Chandler J et al (2021) Cochrane handbook for systematic reviews of interventions version 6.2 Sterne JAC, Savovi J, Page MJ et al (2019) RoB 2: a revised tool for assessing risk of bias in randomized trials

Before the procedure note is written, confirming the patients benefits for both the 20610 procedure and any applicable J-code drug coverage is a front-end requirement that prevents the most common payer-limit denials