Missing or incomplete documentation is the leading cause of medical necessity denials on anesthesia claims, particularly when physical status modifiers or medical direction modifiers are involved
The principal diagnosis for inpatient admission should reflect the condition that prompted admission (typically PE)
People who are vitamin B12 deficient may also experience confusion, depression or anemia
D51.8 Other Vitamin B12 Deficiency Anemias Use for B12 deficiency from causes not classified elsewhere, such as post-gastrectomy, ileal resection, Crohn disease-related malabsorption, bacterial overgrowth, or long-term medication effects (metformin, proton pump inhibitors, H2 blockers)
Blood tests may be needed to determine deficiencies and proper dosing