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Additional tests may include full blood count (looking for macrocytic anaemia), methylmalonic acid, and homocysteine levels

Further Reading References: (1) Heffernan M, Summers RJ, Thorburn A, Ogru E, Gianello R, Jiang WJ, Ng FM

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While D64.9 is valid, payers often review it more closely than cause-specific codes like D50.9 (iron deficiency) or D63.1 (anemia in CKD)

Rarely, hypersensitivity reactions can occur, for instance, urticaria (hives) or other allergic-type reactions have been reported in isolated cases