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If you don't treat your B12 deficiency, it can lead to more severe neurological problems, including: Problems walking or speaking Vision loss Numbness or tingling Muscle weakness Difficulty remembering things Depression or mood swings Treating vitamin B12 deficiency Treatment depends on the reason for your low levels of B12

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Billing 90837 for sessions documented at 50 minutes is upcoding under CMS guidelines and exposes the practice to RAC audit recoupment across a six-year lookback period at the difference between 90837 and 90834, which is approximately $22 to $27 per session at 2026 Medicare rates

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