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as per insurance policy the injection services should be accompanied by the appropriate inject able substance code we have billed on claim E&M (99213 99214) and j3420 and 96372 the amount of j3420 is $0.00 and insurance paid E&M code and denied the code 96372 due to this reason as per insurance policy the injection services should be accompanied by the appropriate inject able substance code

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[1] [2] Blood levels of B12 may rise quickly following injection, though elevated blood levels do not immediately translate to symptom resolution