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Coding Errors That Trigger Denials Using D64.9 when B12 = 120 pg/mL is documented Ignoring folate labs Failing to sequence chronic disease first Coding based on lab, not assessment Copy-paste notes without etiology Auditors see patterns, not single claims

Vitamin B12, Mania and Bipolar Disorder The connection between B12 deficiency and manic symptoms is almost equally well documented