Homocysteine and MTHFR Mutations
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Neuroimaging (MRI of the spinal cord) may occasionally be warranted to exclude other pathology or to demonstrate the characteristic changes of subacute combined degeneration, though this is not routinely required for diagnosis
Modifier 78 may apply when a patient returns for related procedural care within the global period (though 20610 has a zero-day global)
Mikkelsen K, Stojanovska L, Prakash M, et al
