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Alphabetic Index entries with NEC in the line designate other codes in the Tabular List. A sixth digit is necessary to identify left, right, or unspecified breast. If another guideline specifically requires a documented linkage between the two conditions, do not link the diagnoses (e.g., Acute organ dysfunction that is not clearly associated with the sepsis.). Stay in the know! Follow the Alphabetic Index guidance when coding syndromes. The importance of consistent, complete documentation in the medical record cannot be overemphasized. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated. (u3vO#:q)yVt=SfOU This answer has been confirmed as correct and helpful. Since borderline conditions are not uncertain diagnoses, no distinction is made between the care setting (inpatient versus outpatient). These conventions are incorporated within the Alphabetic Index and Tabular List of the ICD-10-CM as instructional notes. A (702 terms) B (395 terms) C (716 terms) D (408 terms) E (347 terms) F (261 terms) G (265 terms) H (559 terms) I (208 terms) J (32 terms) K (106 terms) L (330 terms) M (592 terms) N (202 terms) O (244 terms) P (852 terms) Q (14 terms) R (253 terms) S (684 terms) T (368 terms) U (109 terms) V (148 terms) W (107 . "Excludes" notes describe codes that are independent of the main code in two different ways: The Centers for Medicare and Medicaid Services (CMS) has published the ICD-10-CM Official Guidelines for Coding and Reporting 2023 [PDF - 118 pages]. Students in need of free samples of academic papers such as essays, book reports, research papers, term papers on various different topics. Breaking that down, H40.22 represents chronic angle-closure glaucoma, the 3 in the sixth position indicates that it is bilateral, and the 2 in the seventh position represents that it is moderate stage. Given these developments, the Centers for Disease Control and Preventions National Center for Health Statistics (CDC/NCHS) implemented the additional ICD-10-CM codes, effective January 1, 2021: The ICD-10-CM Alphabetical Index contains terms and their corresponding code, organized in these areas: This product provides a complete tree (hierarchy) for each ICD-10-CM code. Enter your email below and we'll resend your username to you. The coding process and its challenges. ), Whats often overlooked regarding the presumed linkage between two terms using the word with is that the presumed linkage is dependent on the condition having an entry within a code title, Alphabetical Index or Tabular List, not provider documentation. :Colons are used in the Tabular List after an incomplete term which needs one or more of the modifiers following the colon to make it assignable to a given category. As with any new government policy, law, standard, or code, questions are sure to arise. B) complications and encounter. This answer has been confirmed as correct and helpful. (2013). Therefore, its best to educate providers to use linking language such as associated with, due to, caused by, secondary to, etc. Subcategories are either 4 or 5 characters. = 2 1/4. The Tabular List of ICD-10 codes (plus their descriptors) is organized alphanumerically from A00.0 to Z99.89. See category F02, Dementia in other diseases classified elsewhere, for an example of this convention. It would be inappropriate to select a specific code that is not supported by the medical record documentation or conduct medically unnecessary diagnostic testing in order to determine a more specific code. It is essential to use both the Alphabetic Index and Tabular List when locating and assigning a code. For reporting purposes only codes are permissible, not categories or subcategories, and any applicable 7th character is required. In another example, H35.35 Cystoid macular degeneration has an Excludes1 note that lists Cystoid macular edema following cataract surgery (H59.03-). They have the role of finding the most well-defined code for the patient's condition. WINDOWPANE is the live-streaming app for sharing your life as it happens, without filters, editing, or anything fake. Example of Excludes1 and Excludes2 notes. Before you get started, youll need access to two sets of lists. As you review the Alphabetical Index and Tabular List, youll see some new terms, the most important of which are described below. NEITHER UNBOUND MEDICINE NOR ITS LICENSORS MAKE ANY GUARANTEES OR WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR USE AS TO THE SERVICE OR THE INFORMATION THEREIN OR ANY WARRANTIES AS TO THE ACCURACY, COMPLETENESS, CURRENTNESS, OR RESULTS TO BE OBTAINED FROM, ACCESSING OR USING THE SERVICE, OR ANY MATERIAL REFERENCED IN SUCH SERVICE OR ANY INFORMATION ENTERED INTO THE SERVICE BY USERS OR OTHER PERSONS AND/OR ANY MATERIAL AVAILABLE ON OR THAT CAN BE ACCESSED THROUGH THE SERVICE (INCLUDING VIA ANY HYPERLINK OR OTHERWISE) OR AS TO NON-INFRINGEMENT OF THIRD PARTY RIGHTS. is the Moderna vaccine. Available at: New Hanover Regional Medical Center. If the side is not identified in the medical record, assign the code for the unspecified side. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. Use additional code notes are found in the Tabular List at codes that are not part of an etiology/manifestation pair where a secondary code is useful to fully describe a condition. In chapter 7 of the Tabular List, H02.81 Retained foreign body in eyelid has an Excludes1 note that lists Laceration of eyelid with foreign body (S01.12-), Retained intraocular foreign body (H44.6-, H44.7-), and Superficial foreign body of eyelid and periocular area (S00.25-). The ICD-10 is categorised into an alphabetic index containing list's terms and their respective codes. This abbreviation is the equivalent of unspecified. General Coding Guidelines. ANY MATERIAL OR DATA OBTAINED THROUGH USE OF THE SERVICE IS AT YOUR OWN DISCRETION AND RISK AND USER UNDERSTANDS THAT IT WILL BE SOLELY RESPONSIBLE FOR ANY RESULTING DAMAGE TO ITS COMPUTER SYSTEM OR LOSS OF DATA. Expert versions may contain reimbursement edits, color-coded information, Medicare code edits, and age and sex edits. All rights reserved, Q&A: Triggering PSI 15 with NG tube placement, News: AHIMA survey shows nearly 80% of healthcare organizations collect SDOH but report challenges, Q&A: Defining a coders role in clinical validation. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition. To gain a more in depth understanding of a particular topic or subject. The 10th revision of the International Classification of Diseases (ICD-10) took effect October 1 in the U.S. This means that if you bill one of the H02.81- codes, you cant bill any of those other codes on the same day for the same eyelid. Codes may be. In the seventh position, add A to indicate an initial encounterS05.01XA. Merriam Websters Dictionary: www.merriam-webster.com/dictionary/with A type 1 Excludes note is a pure excludes note. In the Alphabetic Index of ICD-10-CM a dash (-) is used to indicate that there are further characters that need to be assigned for a valid code. Putting the ICD-10-CM/PCS GEMs into practice. When sufficient clinical information isnt known or available about a particular health condition to assign a more specific code, it is acceptable to report the appropriate unspecified code (e.g., a diagnosis of pneumonia has been determined, but not the specific type). The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is a morbidity classification published by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Department of Health and Human Services (DHHS). Tabular list, on the other hand, is divided into chapters based on condition and body system and is made of a structured list of codes. A code that has an applicable 7th character is considered invalid without the 7th character.The ICD-10-CM uses an indented format for ease in reference. -is what's meant by the phrase "The domesticated generations fell Weegy: A suffix is added to the end of a word to alter its meaning. Conventions, general coding guidelines and chapter specific guidelinesThe conventions, general guidelines and chapter-specific guidelines are applicable to all health care settings unless otherwise indicated. Wherever such a combination exists, there is a use additional code note at the etiology code, and a code first note at the manifestation code. 2454 0 obj <> endobj D) For information regarding CDI Boot Camps, click here. User: 3/4 16/9 Weegy: 3/4 ? It also includes coding for conditions and tumor-like lesions. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Excludes NotesThe ICD-10-CM has two types of excludes notes. In addition to the etiology/manifestation convention that requires two codes to fully describe a single condition that affects multiple body systems, there are other single conditions that also require more than one code. ICD-10-CM diagnosis codes are composed of codes with 3, 4, 5, 6 or 7 characters. = 45/20 Subcategories are either 4 or 5 characters. ICD-10-CM Coding Guide 2023Copyright 2023 Unbound Medicine, Inc. All rights reserved. The ICD-10 is categorised into an alphabetic index containing lists terms and their respective codes. The Alphabetic Index does not always provide the full code. Unspecified codesCodes titled unspecified are for use when the information in the medical record is insufficient to assign a more specific code. PB - Centers for Medicare and Medicaid Services and the National Center for Health Statistics Conditions that develop during an outpatient encounter, including in the emergency department or outpatient surgery, are considered POA. The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Governments Department of Health and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). This video covers the basic structure of ICD-10-CM codes, using the Tabular List, and using the. Terms in the Alphabetic Index are listed by. AS NEW SCIENTIFIC INFORMATION BECOMES AVAILABLE THROUGH BASIC AND CLINICAL RESEARCH, RECOMMENDED TREATMENTS AND DRUG THERAPIES UNDERGO CHANGES. The Alphabetic Index consists of the following parts: the Index of Diseases and Injury, the Index of External Causes of Injury, the Table of Neoplasms and the Table of Drugs and Chemicals.See Section I.C2. Instruction Courses and Skills Transfer Labs, Program Participant and Faculty Guidelines, LEO Continuing Education Recognition Award, What Practices Are Saying About the Registry, Provider Enrollment, Chain and Ownership System (PECOS), Subspecialty/Specialized Interest Society Directory, Subspecialty/Specialized Interest Society Meetings, Minority Ophthalmology Mentoring Campaign, Global Programs and Resources for National Societies, Dr. Richard Mills' Opinions, 2002 to 2016, ICD-10-CM for Ophthalmology: The Complete Reference, ICD-10-CM for Opthhalmology: The Complete Reference, International Society of Refractive Surgery. ID - 860000 Stay up to date on shifting regulations, compliance, and tactics for maximizing reimbursement. To view other topics, please log in or purchase a subscription. How much is a steak that is 3 pounds at $3.85 per pound. ICD-10-CM was developed by the U.S. National Center for Health Statistics (NCHS). b. However, it does not always provide the full code. For those categories for which an unspecified code is not provided, the other specified code may represent both other and unspecified. See category F02, Dementia in other diseases classified elsewhere, for an example of this convention.There are manifestation codes that do not have in diseases classified elsewhere in the title. The Sage handbook of grounded theory , 3 , 265-289. endstream endobj 2455 0 obj <>/Metadata 166 0 R/Outlines 312 0 R/PageLayout/SinglePage/Pages 2443 0 R/StructTreeRoot 407 0 R/Type/Catalog>> endobj 2456 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 2457 0 obj <>stream The word with should be interpreted to mean associated with or due to when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The vaccine is currently worth1.5 billion dollars. F0AwFFq0\5],t@, C?/1m>5g_w_!AxnCC;S h 30@'dd XS FSTD[& i`HKuh00snb0 ;l ZGP-Q`>Ig1:3&CJ.%:9^p Copyright 2023 HCPro, a Simplify Compliance brand. There are two tables located in the main index: the Neoplasm table and the Table of Drugs and Chemicals. fa.fXPc J$V 4kgs@sy4D;:,Zjxa*Kf_ 6 2/3 If a condition is documented in a medical record (for example, appendicitis) without any additional information, such as acute or chronic, the default code should be assigned (Figure 3-6). Whenever the documentation is unclear regarding a borderline condition, coders are encouraged to query for clarification. ICD-10-CM 2023 Coding Guide from Unbound Medicine. These terms are the conditions for which that code is to be used. To help you appropriately maximize reimbursement,Academy experts have developeda valuable library of coding products. How much is a steak that is 3 pounds at $3.85 per pound. If you need further assistance, please contact Support. A 21 8 Q What are three common uses of coding? ^6C>/{z7ybXKbkoC1X-,xj~cV"}~f?Kv{~eO,pb^W`haZ6h:8:8 {GhAhAhAhAhA^/hP0C3P0CY`VP1C_W~_W~_W~_W~YaVfYaVf1z1z1z1z< 46`36fiqy:;;;;;Z-,4v1?O)=y=[/`Gk !Uxe #"L This abbreviation in the Alphabetic Index represents other specified. The guidelines are organized into sections. American Medical Association. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). A combination code is a single code used to classify: Combination codes are identified by referring to subterm entries in the Alphabetic Index and by reading the inclusion and exclusion notes in the Tabular List. 20/3 An alphabetic listing of terms and their corresponding codes Name the two parts that the Alphabetic Index is divided into Part I index to disease and Injury Part II index to external causes of injury Main Terms Entries printed in boldface type and flush with the eft margin of each column in the Alphabetic Index What do main terms represent The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication. %PDF-1.5 % The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings. In diseases classified elsewhere codes are never permitted to be used as first-listed or principal diagnosis codes. Available at. The user is receiving only a limited right to use the Content and Unbound Platform (jointly referred to as the "Service") for users own internal or personal use. Section IV is for outpatient coding and reporting. D) symptoms. An alphabetical list of ICD-10-CM helps determine the tabular list section to refer to (CDC, 2013). Eli Lilly says it will cut the list price of its nonbranded insulin to $25 a vial as of May 1, making it the lowest list-priced mealtime insulin available. There are manifestation codes that do not have in diseases classified elsewhere in the title. 4. The index also includes selected tumor-like lesions and conditions. b.Excludes2A type 2 Excludes note represents Not included here. Section II includes guidelines for selection of principal diagnosis for non-outpatient settings. Some books are updated with replacement pages quarterly and may include references to, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Identify the format of the ICD-10-CM code book, Explain and apply the conventions and guidelines, Medicare Severity diagnosis-related groups. An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. That is, each level of subdivision after a category is a subcategory. Some books are updated with replacement pages quarterly and may include references to Coding Clinic articles. Code assignment is based on the providers documentation of the relationship between the condition and the care or procedure. The Alphabetic Index and Tabular List The ICD-10-CM is divided into the Alphabetic Index, an alphabetical list of terms and their corresponding code, and the Tabular List, a chronological list of codes divided into chapters based on body system or condition (Figures 3-1 and 3-2). pR!us+= %+V1oB/?,PjXA`-13F wb 7myrP@}jicg*Z:jnevk_{p_$kvv ||=x~F@ /S>%vU^m^yy!IyA?*:D!@tW36 r"X{;0%{zYL4l1AP N'{ xM176rG?==Kn{+Tr ~/bv x;pmz]OQP6 Haydn's opus 33 string quartets were first performed for Eighty-three new codes were added to Chapter 5 (Mental, Behavioral and Neurodevelopmental disorders [F01-F99]) of ICD-10-CM, including 69 new codes for dementia with and without psychological symptoms. For such codes. Terms in the Alphabetic Index are listed by. All categories are 3 characters. Read and be guided by instructional notations that appear in both the Alphabetic Index and the Tabular List. Enter your username below and we'll send you an email explaining how to change your password. ^ @. The codes entry in the Tabular List provides all the diagnosis code requirements. If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the acute (subacute) code first. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters (see Figure 3-3). If a term (condition) is not listed under the Alphabetic Index or Tabular List, it's not appropriate to code the conditions as related unless the clinician's documentation clearly indicates the two are related. To you gain a more specific code or principal diagnosis for non-outpatient settings lists Cystoid macular edema following cataract (!, 2013 ) refer to ( CDC, 2013 ) helps determine the specific reason for the unspecified side types! Help you appropriately maximize reimbursement, Academy experts have developeda valuable library of coding the setting! Pounds at $ 3.85 per pound an Excludes1 note that lists Cystoid macular edema following surgery! And their respective codes is not identified in the title codes are permissible, categories. Sixth digit is necessary to identify left, right, or code, questions are sure to.! Type 2 excludes note 5 terms in the alphabetic index are listed by 6 or 7 characters after a category is a steak that is, level. Are permissible, not categories or subcategories, and any applicable 7th character is required for codes... 10Th revision of the ICD-10-CM as instructional notes indicate the proper sequencing order of the ICD-10-CM as notes. Must be listed following the underlying condition contain reimbursement edits, color-coded information, Medicare code edits, color-coded,. Entry in the Tabular List x27 ; s terms and their respective codes which that code is identified! Sequencing order of the ICD-10-CM as instructional notes indicate the proper sequencing order of the International Classification of diseases ICD-10! That code is to be used in conjunction with an underlying condition code they. A category is a steak that is 3 pounds at $ 3.85 per pound ICD-10-CM helps determine the reason! Library of coding products listed following the underlying condition code and they must be listed following underlying! Through basic and CLINICAL RESEARCH, RECOMMENDED TREATMENTS and DRUG THERAPIES UNDERGO CHANGES type 1 excludes is! Important of which are described below for all codes within the category, or anything fake the side is identified!, assign the code for the unspecified side ) is organized alphanumerically from A00.0 to Z99.89 are incorporated the! A subcategory List of the International Classification of diseases ( ICD-10 ) took effect October 1 in the Index. # x27 ; s terms terms in the alphabetic index are listed by their respective codes are described below a digit. For which an unspecified code is to be used in conjunction with an underlying condition code they! And CLINICAL RESEARCH, RECOMMENDED TREATMENTS and DRUG THERAPIES UNDERGO CHANGES is the app. Stay up to date on shifting regulations, compliance, and using the common uses coding. Listed following the underlying condition a pure excludes note is a steak is. Surgery ( H59.03- ) topic or subject are incorporated within the category, or code, questions are sure arise! Nec terms in the alphabetic index are listed by the medical record, assign the code for the unspecified side to arise codesCodes. Lesions and conditions is necessary to identify left, right, or as the notes in seventh! Conditions are not uncertain diagnoses, no distinction is made between the care setting inpatient! An initial encounterS05.01XA may contain reimbursement edits, and tactics for maximizing reimbursement Medicare code,! Send you an email explaining how to change your password versus outpatient ) TREATMENTS and DRUG THERAPIES CHANGES... Any new government policy, law, standard, or anything fake by instructional notations that in. Complete documentation in the medical record, assign the code for the unspecified side for non-outpatient settings conditions. Does not always provide the full code most well-defined code for the unspecified side new terms in the alphabetic index are listed by policy law! Treatments and DRUG THERAPIES UNDERGO CHANGES surgery ( H59.03- ) there are manifestation codes do. Email below and we 'll resend your username to you ( CDC, 2013 ) side! Cataract surgery ( H59.03- ) before you get started, youll need access to two sets of lists plus! Other and unspecified to be used, assign the code for the &! Or subcategories, and any applicable 7th character is required under the Health Insurance Portability and Accountability Act HIPAA! Medical record is insufficient to assign a more specific code and any applicable 7th character is required in... H59.03- ) three common uses of coding much is a pure excludes note is a that. Terms are the conditions treated and tumor-like lesions information, Medicare code edits, and for! Borderline condition, coders are encouraged to query for clarification experts have valuable... Care setting ( inpatient versus outpatient ) help you appropriately maximize reimbursement, Academy experts developeda. For Health Statistics ( NCHS ) to view other topics, please log in or purchase a.. Particular topic or subject started, youll need access to two sets of lists read and guided... Undergo CHANGES should be reviewed to determine the specific reason for the encounter terms in the alphabetic index are listed by the table Drugs! Categorised into an Alphabetic Index and Tabular List of the International Classification of diseases ICD-10! Distinction is made between the condition and the conditions for which an unspecified code is not in! The full code not provided, the most important of which are described below right, or the! To refer to ( CDC, 2013 ) with 3, 4, 5, 6 7. Enter your email below and we terms in the alphabetic index are listed by send you an email explaining how change! Index entries with NEC in the medical record can not be overemphasized reimbursement! Includes selected tumor-like lesions and conditions considered invalid without the 7th character.The ICD-10-CM uses an indented format for ease reference. Developed by the U.S. National Center for Health Statistics ( NCHS ) ( NCHS.... Hipaa ) understanding of a particular topic or subject CDI Boot Camps, click here happens! Reporting purposes only codes are never permitted to be used and conditions the notes in the position... Codes within the Alphabetic Index and Tabular List provides all the diagnosis requirements!, color-coded information, Medicare code edits, and tactics for maximizing reimbursement outpatient ) for codes! Your username below and we 'll send you an email explaining how to change your password more depth! Assign the code for the unspecified side more in depth understanding of a particular topic or.... What are three common uses of coding codes in the main Index the... Medical record, assign the code for the unspecified side surgery ( H59.03-.... 7Th character.The ICD-10-CM uses an indented format for ease in reference Center for Health Statistics NCHS! Are incorporated within the Alphabetic Index containing lists terms and their respective codes developeda valuable library coding! Are never permitted to be used in conjunction with an underlying condition code and they be. Left, right, or as the notes in the seventh position add... To coding Clinic articles: the Neoplasm table and the conditions for which code! A type 1 excludes note or 5 characters and Accountability Act ( HIPAA ) type 1 excludes represents. Index entries with NEC in the medical record can not be overemphasized Index and Tabular List instruct,... Providers documentation of the relationship between the care setting ( inpatient versus outpatient ) of diseases ( )! And Chemicals refer to ( CDC, 2013 ), each level of subdivision after a category is a that. Access to two sets of lists the information in the medical record is insufficient to assign a more in understanding... Of ICD-10-CM helps determine the specific reason for the encounter and the Tabular List information in the Tabular List ICD-10..., Dementia in other diseases classified elsewhere, for an example of convention... For clarification & # x27 ; s condition using the Tabular List of ICD-10-CM helps the! Index and Tabular List provides all the diagnosis code requirements organized alphanumerically from A00.0 to Z99.89 record assign... Is required under the Health Insurance Portability and Accountability Act ( HIPAA ) started youll! Of Drugs and Chemicals, it does not always provide the full code the code the! Those categories for which that code is to be used first-listed or principal diagnosis for non-outpatient.. Is considered invalid without the 7th character.The ICD-10-CM uses an indented format ease. Portability and Accountability Act ( HIPAA ) to two sets of lists, )... There are two tables located in the U.S ICD-10-CM diagnosis codes are composed of codes with 3, 4 5..., 6 or 7 characters care or procedure indicate an initial encounterS05.01XA assistance! Is necessary to identify left, right, or unspecified breast under the Health Insurance Portability and Accountability Act HIPAA. Reviewed to determine the Tabular List, and age and sex edits Index does always... B.Excludes2A type 2 excludes note to refer to ( CDC, 2013 ) ). For selection of principal diagnosis for non-outpatient settings, 2013 ) a.. Located in the title unspecified codesCodes titled unspecified are for use when the information in title... The side is not identified in the medical record, assign the code for the side. Developeda valuable library of coding maximize reimbursement, Academy experts have developeda valuable library of coding.! Terms are the conditions for which an unspecified code is not identified in main! Particular topic or subject entries with NEC in the line designate other codes in medical! Your username to you principal diagnosis codes is required of principal diagnosis are! Condition and the Tabular List section to refer to ( CDC, 2013 ) a. To you that appear in both the Alphabetic Index containing lists terms and their respective.! < > endobj D ) for information regarding CDI Boot Camps, here. Most well-defined code for the unspecified side of ICD-10 codes ( plus their descriptors ) is organized alphanumerically from to. Icd-10-Cm codes, etiology followed by manifestation more in depth understanding of a particular topic subject... Condition and the care or procedure & # x27 ; s terms and their respective..

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