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[1] Those who cannot digest or absorb B12 as a result of inherited genetics or damage to the stomach and small intestine require more than can be absorbed from sublingual supplementation

When you consume Vitamin B12 through food, the hydrochloric acid in the stomach separates the vitamin B12 from the protein, binds with another protein called intrinsic factor, and the body absorbs them together

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Comment: A commenter requested that CMS remove CPT Code 0877T from the current OPPS rule and fee schedule because according to the commenter, this service is best categorized as an ambulatory service, not an outpatient service to be reviewed and priced under the OPPS