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Modifier 78 may apply when a patient returns for related procedural care within the global period (though 20610 has a zero-day global)

The 60-day period will also align with the same policy finalized for hospital inpatient providers and inpatient psychiatric facilities (IPF) in the FY 2026 IPPS/LTCH PPS final rule (90 FR 37026) and the FY 2026 IPF PPS final rule (90 FR 37661), respectively

(2003) Xing et al

A blood level above 900 to 1,000 pg/mL is generally considered elevated and warrants a conversation with your doctor, especially if youre not taking B12 supplements