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The CPT definition of modifier 25 is Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service. Its use is indicated when a patients condition requires a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed

I will explained Vitamin B12 in another post but in a nutshell you need either a sublingual, nasal or injection dose of vitamin B12 either daily or every six months depending on the route

Typically patients diet immediately prior to surgery, which causes low intake of the vitamin and the water soluble nature of vitamin B1 which means it quickly leaves your tissues

Fsis.usda.gov