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If you have additional risk factors, such as a vegetarian or vegan diet (which may be lower in B12-containing foods), a history of gastrointestinal surgery, or certain medical conditions like pernicious anemia, your healthcare provider may recommend monitoring your B12 levels and considering supplementation, including B12 shots if necessary

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It is distinguished from other codes, such as CPT 20600, which is for less complicated aspirations or injections of major joints without the use of ultrasound guidance, and CPT 20604, which is for smaller joints, such as those in the fingers or toes