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B12 shots are widely considered safe, but a few situations may require extra care

The fish tapeworm (Diphyllobothrium latum) absorbs huge quantities of vitamin B12 and infested patients often have associated gastric atrophy

However, coverage is contingent upon the medical necessity as defined by the specific plan, which may vary
The code is commonly used for compounded drug mixtures, new medications recently released to the market, or medications administered off-label where established J-codes do not apply

For Medicare flu vaccine administration, providers must bill G0008, not CPT 90471
