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This code does not include the cost of the vaccine itself, which is typically billed separately

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At this stage, the hematological defects are indistinguishable from those of folate deficiency and include megaloblastic anemia, characterized by macro-ovalocytic erythrocytes, abnormal red cell indices, and a low hemoglobin concentration (see Chapter 17, Sections 17.2.7 and 17.4)