Missed dose of Neo-B12 Injection If you miss a dose of Neo-B12 Injection take it as soon as you remember, unless it is time to take the next dose, then skip the missed dose

When three or more vaccines are performed during the same visit, apply additional units to the subsequent administration code for each additional vaccine of the same route (injection or oral/nasal.) Here are some examples of multiple vaccination administrations: Example 1: 3 intramuscular injections 90471 x 1 unit for the initial intramuscular vaccination administration +90472 x 2 units for each additional intramuscular vaccination administration Example 2: 1 intramuscular injection and 1 oral administration 90471 x 1 unit for the initial intramuscular vaccination administration +90474 x 1 unit for the additional oral administration Example 3: 2 intramuscular injections, 1 oral administration, and 1 nasal administration 90471 x 1 unit for the initial intramuscular vaccination administration +90472 x 1 unit for the additional intramuscular administration +90474 x 2 units for the additional oral/nasal administrations Example 4: 1 oral administration and 1 nasal administration 90473 x 1 unit for the initial oral/nasal administration +90474 x 1 unit for the additional oral/nasal administration Vaccine Administration with Counseling Next, lets look at vaccine administration when counseling is provided and billed with 90460 or +90461

Reference: Dimet-Wiley AL, Latham CM, Brightwell CR, Neelakantan H, Keeble AR, Thomas NT, Noehren H, Fry CS, Watowich SJ (2024)
Injections cost more per dose because there is a charge for the medical service and the pharmaceutical-grade vitamin, but more of what you pay for is actually absorbed
Simpler, fewer variables, fewer potential issues