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This is the same out-migration adjustment policy that would apply if the hospital were paid under the IPPS

According to the National Heart, Lung, and Blood Institute, this absorption failure makes B12 injections the primary and most effective treatment, as they deliver the nutrient directly where your body can use it, bypassing the digestive system entirely

Patients who have a compromised gastrointestinal system (with a low production of intrinsic factor) are not able to absorb enough vitamin B12 from food or a pill form

We refer readers to Section 50.2M, Chapter 15 of the Medicare Benefit Policy Manual for a description of our policy on SADs treated as hospital outpatient supplies, including lists of SADs that function as supplies and those that do not function as supplies

This depends on your dose and is something you'll discuss with your clinician and clinical team in training