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They require modifier 59 to show that these are distinct procedural services

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Synthetic B12 (cyanocobalamin) is less bioavailable by comparison and requires a three-step process to be converted to usable B12 in the body

It is a reflection of wildly different service models being compared as if they were the same thing

However, researchers do not know if the effects of obesity can cause a reduction in B12 levels or if reduced B12 levels may be a contributing factor to obesity