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Cobalamin and holo-TC levels in the placenta, cord blood, and newborn serum correlate with maternal levels, but are 23 fold higher (Luhby et al., 1958

Thats not me denying it definitely doesnt cause an issue in some people, but right now we dont have evidence to support a mechanism in which it would happen

These categories were removed because they were considered confusing and overly simplistic and did not adequately communicate medication risk during pregnancy, lactation, or reproductive decision-making

There are two primary factors to consider when determining whether an E/M service should be billed with modifier 25