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We note that at the August 25, 2025, HOP Panel Meeting, a presentation was made requesting: (1) reassignment to APC 5377 (Level 7 Urology and Related Services) for CPT code 55877

Healthy Skin, Hair, and Nails: B12 plays a role in cell production and is important for healthy skin, hair, and nails

Stier H, et al

it is whether they get a meaningful amount of the vitamin at all

The commenters noted that the cost of the procedure exceeds payment by approximately $4,000 and expressed concern that this discrepancy would result in patient access to the procedure being limited, particularly considering that the alternatives for severe emphysema patients involve much more invasive and expensive treatment options

Those following vegetarian or vegan diets may have lower dietary intake of B12