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Also, patients should be warned about the danger of taking folic acid in place of vitamin B12, because the former may prevent anemia but allow progression of subacute combined degeneration

Chronic Care Management (CCM) Codes If you spend at least 20 minutes per month coordinating care for patients with two or more chronic conditions, you can bill for chronic care management: 99490: First 20 minutes of clinical staff time 99439: Each additional 20 minutes 99491: Complex CCM (first hour by physician or clinical staff) These codes require documented patient consent and specific tracking of time spent on care coordination activities like medication management, care plan updates, and communication with other providers

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