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According to CPT guidelinesaddressed at the American Medical Association (AMA) CPT Symposium in Chicago in November 2018it is appropriate to assign the biopsy surgical code

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22 , 23 , 56 Treatments such as antibiotics, proton pump inhibitor medications, antihyperglycemic medicines (eg, metformin), nitrous oxide anesthesia, a nonsteroidal anti-inflammatory drug, some anticonvulsants, and colchicine interfere with B 12 absorption and metabolism

This occurs during the recovery phases of Bells Palsy when the regenerating nerve fibers initially migrate through a common channel called the main nerve trunk

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