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Omitting Z90.3 in this context means the record does not fully reflect the patients current physiology, which can affect nutrition management coding and downstream reimbursement for follow-up services

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CPT codes 96372-96379 are not intended to be reported by the physician in the facility setting

Summary: B12 deficiency can make HbA1c results unreliable by disrupting red blood cell production and turnover, potentially distorting results in either direction