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When fluoroscopy guides the needle instead of ultrasound, report CPT 20610 and add-on code 77002 on the same claim

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For a 0.5mg dose at 2.5 mg/mL: (0.5 / 2.5) x 100 = 20 units

In this situation, it can be challenging to demonstrate B12 deficiency even when there are typical symptoms (including neuropathy-like paraesthesia and numbness), as serum B12 concentrations may be just within, or sometimes above, the normal range due to the oral supplementation