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As part of the CY 2019 PFS final rule (83 FR 59489 through 59491), we finalized interprofessional consultation services codes that differentiate between primary care and consultative practitioners, which support payment both to the treating, requesting (primary care) practitioner (CPT code 99452) and the receiving, consultative specialist (CPT codes 99446-99449 and 99451), who engage in electronic consults

The injection is often used to alleviate symptoms associated with various forms of neuropathy, including diabetic neuropathy, alcoholic neuropathy, and drug-induced neuropathy

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Energy and mood benefits may gradually decrease over time, which is why ongoing maintenance injections are often recommended