If youre not tracking objective markers, youre not optimizing intelligently
We proposed to continue assigning CPT code 61891 to status J1, APC 5464 (Level 4 Neurostimulator and Related Procedures) with a proposed payment rate of $20,126.69 and we proposed to continue assigning CPT code 61892 to status indicator J1, APC 5113 (Level 3 Musculoskeletal Procedures) with a proposed payment rate of $3,377.20
What the Published Data Shows Across the research literature, B12 deficiency rates after bariatric surgery fall in the following ranges (3): Roux-en-Y gastric bypass: approximately 2% to 80%, depending on follow-up duration and supplementation Sleeve gastrectomy: 0% to 36.4%, with deficiency often emerging up to two years post-surgery Biliopancreatic diversion with duodenal switch: highest rates, often requiring lifelong parenteral supplementation Weight loss medications: up to 2.6% incidence within one year of treatment These are wide ranges because research has pooled studies with very different follow-up windows and supplementation regimens
If the research timeline permits using the entire vial within 48 hours of thawing, the remaining potency may still be sufficient depending on dose tolerance in your model
