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Pre-Requisite Visit: Before billing CCM services for a new patient or one not seen within the past year, an initiating visit is required specifically a comprehensive E/M visit, Annual Wellness Visit (AWV), or Initial Preventive Physical Examination (IPPE)

Cyanocobalamin Cyanocobalamin is contraindicated in those with hypersensitivity to cobalt moiety or cobalamin molecule due to the risk of anaphylaxis

Symptoms like rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, and trouble breathing require immediate medical attention

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