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Pregnant or breastfeeding individuals should consult their doctor first Anyone with an allergy to cobalt or B12 should avoid this treatment If you have certain medical conditions, such as Lebers disease (a rare genetic eye disorder), B12 injections may not be suitable

When fluoroscopy is utilized for the injection, according to CPT guidelines it is appropriate to assign 77002 (Fluoroscopic guidance) in addition to this code and the appropriate with contrast CT or MRI code

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