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Remember: This information is for educational purposes only and shouldnt replace professional medical advice

When E/M not to Billed Separately Regulatory guidance from the National Correct Coding Initiative (NCCI) dated January 2013 indicates that procedures with a global period of 90 days are major surgical procedures, and if an E/M service is performed on the same day as such a procedure to decide whether or not to perform that procedure, then the E/M service should be reported with modifier -57

Cancer 13 , 167 (2014)

However, the caveat is not in the lack of cobalamin in the diet

Int J Mol Sci 17(8):1259

Injections require broader training, encompassing safety practices and procedural skills outside of standard phlebotomy