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The common symptoms of pernicious anemia include: Fatigue, lack of energy, or lightheadedness when standing up or with exertion Pale skin Diarrhea or constipation Nausea, vomiting Loss of appetite Tingling feelings or pain Trouble walking Uncontrollable muscle movements Confusion and memory loss Headaches To diagnose Pernicious Anemia, in addition to a CBC, serum folate, iron, and iron-binding capacity tests can help diagnose pernicious anemia or another type of anemia

Yes, If an injection is performed with EM office visit, we should append modifier 25 with EM, however if the purpose of visit is administration of injection then injection only should be coded

Topical reactions: rare irritation , redness or dryness , especially at 3 %+ percentages on sensitive skin

In fact, a low B12 level is often used as an indicator for gastrointestinal disorders