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One community-sourced report (AAPC coding forum) notes that Cigna Medicare in North Carolina cited exclusion dates of 01/01/2003 for both J1815 and J1817, resulting in non-reimbursement for those codes

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This can be due to a number of reasons, such as a lack of B12 in the diet, reduced stomach acidity, or when particular cells in the stomach - the "parietal" cells - do not produce enough intrinsic factor