doi: 10.1093/icb/12.1.159
NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure
The fact that they did the same to my other cat when he was out/being neutered has me thinking they like to practice
Leaving D64.9 on the chart across multiple encounters invites audit scrutiny and reduces reimbursement.
If your results show a mild deficiency and your GP confirms you dont have absorption issues, you can then try a high-dose sublingual spray for 3 months and re-test
The designated code for macrocytic anemia is ICD-10-CM Diagnosis Code D53.9