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Michael Fortunato is a board-certified physician specializing in anesthesiology and hormone optimization therapy

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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

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There is around a 2.5-fold increase in B12 deficiency incidence in those treated with metformin, and this may occur as early as 3 months, although hepatic stores of vitamin B12 may take 5 years or more to deplete (Bell, 2022)

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