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Those include antihistamines and topical or oral steroids, per Johns Hopkins Medicine

Guideline I.C.2.e Admission/Encounter for Administration of Antineoplastic Therapy When an encounter is for the sole purpose of administration of antineoplastic radiation therapy or chemotherapy, assign code Z51.0, Encounter for antineoplastic radiation therapy, or Z51.11, Encounter for antineoplastic chemotherapy, or Z51.12, Encounter for antineoplastic immunotherapy, as the first-listed or principal diagnosis

The second exception is when a bovine is apparently very sick from either a gut disorder that may have wreaked havoc on their rumen microbial communities (like what acidosis can do) or are suffering from serious cobalt/B12 deficiency

Here are the top questions and answers about vitamin B12 that I encounter in the practice: Does it work