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A 2004 study published in the American Journal of Obstetrics and Gynecology suggests vitamin B12 deficiency during pregnancy may increase spina bifida risk in the fetus/baby

In particular, section 1833(t)(16)(G) of the Act provides that with respect to a non-opioid treatment for pain relief furnished on or after January 1, 2025, and before January 1, 2028, the Secretary shall not package payment for the non-opioid treatment for pain relief into payment for a covered OPD service (or group of services) and shall make an additional payment for the non-opioid treatment for pain relief as specified in clause (ii) of that section

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