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Starting at 2.5mg weekly for four weeks, then escalating in 2.5mg increments every four weeks to minimize gastrointestinal side effects (nausea, vomiting, diarrhea)

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For individuals allergic to hydroxocobalamin, other alternative forms may be suitable, such as cyanocobalamin, methylcobalamin, adenosylcobalamin (also known as dibencozide), as well as oral vitamin B12 supplements which are available in various formulations like capsules

Documentation Requirements According to the CMS Coverage Article A56681, adequate documentation for a 62323 claim must support both medical necessity and technical performance of the procedure
