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The reason for IM injections is the same as taking an oral vitamin

This makes hydroxocobalamin last longer in the blood stream and therefore result to fewer injections

Mitochondrial peptides in aging & metabolic disease

As previously noted, we currently require the transfer of care modifiers (-56 for pre-operative care, -54 for procedures, and -55 for post-operative care) to be appended in cases where there is a formal documented transfer of care agreement, that is, in the form of a letter or an annotation in the discharge summary, hospital record, or Ambulatory Surgical Center (ASC) record (CMS Manual System, Pub 100-04 Medicare Claims Processing, Transmittal 11287)