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National Coverage Determination (NCD) for Vitamin B12 Injections to Strengthen Tendons, Ligaments, etc., of the Foot (150.6)

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Benefit Category
Drugs and Biologicals

Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Indications and Limitations of Coverage

Vitamin B12 injections to strengthen tendons, ligaments, etc., of the foot are not covered under Medicare because (1) there is no evidence that vitamin B12 injections are effective for the purpose of strengthening weakened tendons and ligaments, and (2) this is nonsurgical treatment under the subluxation exclusion. Accordingly, vitamin B12 injections are not considered reasonable and necessary within the meaning of §1862(a)(1) of the Act.

Cross Reference
Also see the Medicare Benefit Policy Manual, Chapter 1 §30, and Chapter 16 §100.