All patients will need to commit to maintenance treatments
As listed in Addendum B to the CY 2026 OPPS/ASC proposed rule, we proposed to continue to assign CPT code 38228 to status indicator S (Procedure or Service, Not Discounted when Multiple) and APC 5694 (Level 4 Drug Administration)
Joint discomfort associated with B12 supplementation is uncommon and not listed amongst the recognised adverse effects in the Summary of Product Characteristics (SmPC) for licensed B12 preparations or in the British National Formulary (BNF)
Here is the breakdown: There is an important caveat
Your B12 injection treatment includes health assessment, professional injection administration, post-treatment monitoring, and guidance on optimal treatment frequency
What Happens After Your First B12 Injection Following your first B12 injection, several physiological processes begin immediately, though you may not feel different straight away