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Fortified Foods Fortified cereals (check labels) Plant-based milks (soy, almond, oat) Nutritional yeast (2 tsp = ~2.5 mcg) Sample B12-Rich Pregnancy Meal Plan Heres a sample day of meals that support your B12 needs: Breakfast Fortified cereal with soy milk Scrambled eggs with spinach Lunch Tuna salad sandwich Greek yogurt with berries Snack Boiled egg and cheese slices Dinner Grilled salmon Roasted potatoes and broccoli Glass of milk Estimated B12: 610 mcg (well above the daily minimum) Potential Risks of Vitamin B12 Deficiency Not getting enough vitamin B12 during pregnancy can lead to serious health issues for both you and your baby

B-vitamin deficiency causes hyperhomocysteinemia and vascular cognitive impairment in mice

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When 20610 May be Reported with an E/M Code Providers may report an E/M service on the same day as 20610 when a significant and separately identifiable evaluation is performed beyond the decision to perform the procedure

Everything below reflects CMS guidance current as of June 2026, including the scheduled July 1, 2026 NCCI PTP update