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That is about 10,000 pernicious anemia injections all at once, and you still cant overdose

CPT 90471 may apply for other injectable vaccines given during the same visit as a COVID shot, but the COVID vaccine itself should use its designated administration code not 90471

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Over time, however, there is always a certain amount of inactive cob(II)-cobalamin produced, which must be reactivated through methylation into methylcobalamin with the help of a special enzyme