icd-10 smoking cessation

0000102307 00000 n 199 0 obj <>stream 0000120726 00000 n Tobacco Cessation Tools & Resources Improve your patient care with toolkits, coding and payment information, and patient education. 0000026137 00000 n 0000001425 00000 n This is the American ICD-10-CM version of Z71.6 - other international versions of ICD-10 Z71.6 may differ. 158 0 obj <> endobj RESULTS: ICD-9 tobacco use codes can identify smokers in a general clinic population (specificity of 1, sensitivity of 0.32), and there is little evidence of documentation bias. 0 Effective 10/01/2016, Medicare will no longer utilize codes G0436-G0437 for smoking and tobacco-cessation counseling services. This is not per physician, or per attempt, but per patient. This service is reimbursable from many payers and carries an RVU value of 0.35 for 99406 and 0.73 for 99407. Tobacco cessation treatment ICD-10-CM ICD-10-CM Code ICD-10-CM Description Definition/tip F17.20 - Nicotine dependence, unspecified (-) Add 6th character: 0 – uncomplicated 1 – in remission 3 – w/withdrawal 8 – w/other nicotine-induced disorders 9 – w/unspecified nicotine-induced disorders F17.21 - Nicotine dependence, cigarettes counseling on tobacco cessation, which needs to be supported by a nicotine diagnosis code What ICD-10 codes might we choose for this encounter? �f�eetg�d�ʨ�� �m��� 3�}�) eg`����x@� ��$� xref 0000008751 00000 n Without this supplementary documentation, the payment for the smoking cessation counseling can be included in the E/M service. 2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt. 0000003952 00000 n launched “Commit to Quit” a statewide smoking cessation program that helps smokers in Kentucky stop smoking with guidance from their physician. The ICD-10-CM codes provided in the clinical scenarios below are intended to provide e-cigarette, or vaping, product use coding guidance only. Note that as of September 30, 2016 HCPCS codes G0436 and G0437 for smoking cessation have been deleted. 0000009716 00000 n endstream endobj 171 0 obj <> endobj 172 0 obj <> endobj 173 0 obj <>stream 0000010979 00000 n The F codes are from the Mental and Behavioral Disorder category. 0000100490 00000 n H�\�͎�@��w+�f� !y���C~'�a� ŀ0>��35e�J�dSc����t����a5�e�~5�a��nK��џ�1����X�����I6���_��iJ�ڤ?�����Ӧ���9I�/�_��l�~o�&=������q5�i��S0����ڋ7i������a���=�W����q���z���/�x�I��Oc���i?�������.I� g�H�VMX��%��,��!�W�W�{�-�zG���w8$uI�>eN�C�tI]B+�B3�Dn����z�F��e�E�e�E��������Q;h�F햹�����Y6f�^�z-뵨ײ��Ԏ� h�bbbf`b``Ń3�� 0 ��d Z71.6 is a valid billable ICD-10 diagnosis code for Tobacco abuse counseling.It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021.. POA Exempt The following ideas can help you create a plan. 0000005982 00000 n %PDF-1.4 %���� %%EOF tobacco cessation is the primary reason for the patient’s hospital stay. ICD-10 – International Classification of Diseases (10 th Edition) released 2017 with updating coming on October 1, 2017 and will be called 2018 ICD-10-CM. 0000010277 00000 n 0000001746 00000 n H�\��n�0��~ ICD-10 expands the breadth and depth of health care documentation in general and documentation for tobacco use, dependence, and exposure in particular. The F17 codes are used if the patient is dependent on tobacco. 158 42 Refer to the Coding Guide for Tobacco Use for codes that can be used. Z codes cannot be combined with an F code. nICoTIne DepenDenCe. 0000051260 00000 n 99406 – Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes. A 'billable code' is detailed enough to be used to specify a medical diagnosis. This move will simplify coding of tobacco-cessation services with all patients who use tobacco now eligible for services meeting the criteria for codes 99406–99407 (cessation counseling >3–10 minutes or >10 minutes). 0000028160 00000 n endstream endobj 198 0 obj <>/Filter/FlateDecode/Index[8 150]/Length 27/Size 158/Type/XRef/W[1 1 1]>>stream The ICD-10 codes diagnosis codes that should be reported for individuals who do not have signs or symptoms of tobacco-related disease individuals are: [MLN, 2015] • F17.200: Nicotine dependence, unspecified, uncomplicated I recommend reviewing this Medicare Learning Network resource for more detailed information on smoking and tobacco-use cessation counseling coding. There should be an ICD-10 diagnosis code to support the service, such as Z71.6 (tobacco counseling) with F17.21 (nicotine dependence, cigarettes). 0000002238 00000 n The transition to ICD-10 is required for all those covered by the Health Insurance Portability and Accountability Act (HIPAA). 0000011989 00000 n With the implementation of ICD-10, nicotine dependence (Category F17) has 20 codes that are broken up to identify the specific tobacco F17.201 Nicotine dependence, unspecified, in remission When diagnosing for tobacco use, there are two coding options, depending on whether there is dependence on tobacco or not: ICD-10 F17 codes – if the patient is dependent on tobacco; Z codes – if there is NOT dependence on tobacco. H�\��n�0����l/*N��J������P0�(��~v\u�"A�~cyq*l7��� u��n;�8����Q_��Yź���q�ﺯF�s�L3��m��:���iv�^��k��]goz���k��q����C�e����T�kգ�ۦh辛� ��Y|.#�؟#S NcU��� U��tz��)�Ϳ�$�k[WN�1�!mĹp�|>'b��M G̱p��@�M�2�����n�6����8H�8 ���%/p^0†Yr炣�Yj��F��,|f��L��n�v#��׈6�ڌh3�͈6�ڌh3�͈�z��=��7�� nM�~�A}w�F����=w�����q5y�~ �e�+ 0000011394 00000 n /�EE���VBHi�JY̏&3@�I�@Y��LJu�A��s���f�� �l��ql�a��~�b����{�~0ya�����۞��d���v��y7GSU6��/s�هu7£�~�.�~8ه?������i��0�ve��vᘄ�5���l�{�ui��oO�̿�oS��2�i��p��6�f8S��S��==� C�ߺs. 99406 Intermediate Smoking and tobacco use cessation counseling visit is greater than three minutes, but not more than 10 minutes 99407 Intensive Smoking and tobacco use cessation counseling visit is greater than 10 minutes S9453 Smoking cessation classes Non-physician provider, per session 99381-99397 Preventive medicine services 0000014687 00000 n Creating a quit-smoking plan may improve your chances of stopping for good. 0000004863 00000 n 0000025798 00000 n Unspecified war operations occurring after. 100-04, Chapter 18 Preventive and ICD-10-CM Diagnosis Code Z71.6 [convert to ICD-9-CM] Tobacco abuse counseling. ICD-10-CM Description J45.990 exercise induced bronchospasm F17.218 nicotine dependence, cigarettes, with other nicotine-induced disorders Z71.6 Tobacco abuse counseling Therefore, Paramount will not cover tobacco cessation services if tobacco cessation is the primary reason for the patient’s hospital stay. 0000003838 00000 n 0000003180 00000 n 0000008199 00000 n Let’s Talk Prevention • Tobacco cessation – Screening for tobacco use and classes on smoking cessation or cancer prevention • Information and referral to other services; screening for CPT ® codes for Smoking Cessation. To code a diagnosis of this type, you must use one of the five child codes of F17.21 that describes the diagnosis 'nicotine dependence, cigarettes' in more detail. 0000003726 00000 n Smoking cessation counseling; Smoking cessation counseling done; code for nicotine dependence (F17.-) ICD-10-CM Diagnosis Code Z71.6. When documented, your ICD-10 code(s) should include one for tobacco use status and one for confirmed tobacco-related diseases. National Coverage Determination (NCD) for Smoking and Tobacco-Use Cessation Counseling - RETIRED (210.4) Select the Print Complete Record , Add to Basket or Email Record Buttons to print the record, to add it to your basket or to email the record. 0000027800 00000 n The ICD-10-CM code F17.201 might also be used to specify conditions or terms like stopped smoking or stopped smoking before pregnancy or stopped smoking during pregnancy. ICD-10 codes. 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes 0000000016 00000 n 0000024139 00000 n startxref ; Consultation for circumcision done; Coordination of asthma care done; War operations classifiable to categories Y36.0-Y36.8 but occurring after, Tobacco use disorder, chewing tobacco, mild, in early remission, Tobacco use disorder, chewing tobacco, mild, in sustained remission, Tobacco use disorder, chewing tobacco, moderate, in early remission, Tobacco use disorder, chewing tobacco, moderate, in sustained remission, Tobacco use disorder, chewing tobacco, severe, in early remission, Tobacco use disorder, chewing tobacco, severe, in sustained remission, exposure to environmental tobacco smoke (, Encounter for fertility preservation counseling prior to cancer therapy, Encounter for fertility preservation counseling prior to surgical removal of gonads, Counseling for significant other, partner, or friend of alcoholic, code for exposure to second hand tobacco smoke (, Newborn affected by exposure in utero to tobacco smoke, newborn exposure to environmental tobacco smoke (, War operations classifiable to categories, Counseling for significant other, partner, or friend of drug abuser, Tobacco use disorder, other tobacco product, mild, in early remission, Tobacco use disorder, other tobacco product, mild, in sustained remission, Tobacco use disorder, other tobacco product, moderate, in early remission, Tobacco use disorder, other tobacco product, moderate, in sustained remission, Tobacco use disorder, other tobacco product, severe, in early remission, Tobacco use disorder, other tobacco product, severe, in sustained remission. }���>(��胒_���W�+��J~��_���W�+��J~��_���W�W�/�̕�s�.�P �/� =&�&�|�iw[�0��gS9����1O� ��M� 0 1� � =�BO����C�_�/�WP����Ls%�vA���.���>� �g Having a plan helps you set expectations, line up the support you need, prepare for cravings, identify and practice coping skills, and stay motivated. Previously, ICD-9 offered only two tobacco-use diagnosis codes. 0000005374 00000 n Use Additional. If you see denials, another physician may have also billed for this service. When documented, your ICD-10 code(s) should include one for tobacco use status and one for confirmed tobacco-related diseases. 0000026526 00000 n | ICD-10 from 2011 - 2016 Z72.0 is a billable ICD code used to specify a diagnosis of tobacco use. 0000019730 00000 n There are two codes used to report counseling by a physician or non-physician practitioner (NPP) with the patient for smoking cessation. The Z codes cannot be combined with an F17 code. 0000009160 00000 n Z71.6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0000006067 00000 n 0000002719 00000 n In ICD-10-Cm, nicotine dependence (f17- ) is represented by 20 codes, which replace the singular ICD-9 code of 305.1 Tobacco use disorder. trailer h�b```b``=�����e� Ȁ ��@���1��qb�$9��V΀k�:v�k��et@`�H@ ���1.f�g|�`�`�h��� �x�I�A����;��W�ь�?3r1Z0&2�r�� Smoking cessation code 99407 was billed to Medicare Part B 62,243 times in 2011 with allowed charges of $1,660.343.80 dollars and payments of $1,236,043.43. Tobacco abuse counseling. The 2021 edition of ICD-10-CM Z71.6 became effective on October 1, 2020. 0000001602 00000 n Advantage Deductible and Copayment/Coinsurance waived for Smoking Cessation Counseling (99406, 99407, S9453) if reported with ICD-10-CM diagnosis codes listed below. 0000007641 00000 n A modifier 25 may be appropriate to append to the primary E/M visit code if the EM visit is unrelated to the tobacco usage. BILLING GUIDE FOR TOBACCO SCREENING AND CESSATION Diagnosis Coding Guide The first decision a provider must make when diagnosing for tobacco use is whether to use an ICD-10 F17 code or a Z code. Thesenewcodesarespecifictoidentifythetypeof nicotineproductused:cigarettes,chewingtobacco,othertobaccoproduct,orunspecified. endstream endobj 168 0 obj <> endobj 169 0 obj <> endobj 170 0 obj <>stream 0000027493 00000 n 0000004774 00000 n z(�x endstream endobj 159 0 obj <>/Metadata 6 0 R/Pages 5 0 R/StructTreeRoot 8 0 R/Type/Catalog/ViewerPreferences<>>> endobj 160 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 161 0 obj <> endobj 162 0 obj <> endobj 163 0 obj <> endobj 164 0 obj <> endobj 165 0 obj <> endobj 166 0 obj <> endobj 167 0 obj <>stream com Key word – “icd 9 to icd 10 crosswalk” and “icd 10 remediation” – icd 9 to icd 10 conversion, icd 9 to icd 10 migration, ICD 9, ICD 10, ICD codes Read More what are the "best" smoking cessation clinics in NYC or I would even be interested in knowing of Stay-Over treatment centers anywhere in the US. The code F17.201 describes a circumstance which influences the patient's health status but not a current illness or injury. Some commonly used ICD-10 diagnosis codes used, if appropriate given your patient’s situation, may include: F17.200 Nicotine dependence, unspecified, uncomplicated. The total annual benefit covers up to eight smoking and tobacco-use cessation counseling sessions in a 12-month period. Statbite 77 Impact of state-wide Smoking Cessation Clinical Pathway on clinical coding of tobacco use Keywords: Statibite 77 Impact of state-wide Smoking Cessation Clinical Pathway on clinical coding of tobacco use Statistical Services Branch ICD-10-AM QHAPDC hospital admissions Created Date: 1/22/2019 11:05:15 AM The CPT codes for billing for smoking cessation include: 99406 – Smoking and tobacco use cessation counseling visit; intermediate, greater than three minutes, up to 10 minutes. Elite/ProMedica Medicare Plan 99407 – Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes. 0000007060 00000 n 0000010605 00000 n Placing a stamp or sticker on the chart when the member indicates he or she uses tobacco. Don’t forget your appropriate ICD-10 code(s) to support the medical necessity as well. | ICD-10 from 2011 - 2016 ICD Code F17.21 is a non-billable code. Frequency of code transitions between 'current' and 'former' tobacco use was significantly correlated with initial success at smoking cessation (p<0.0001). 0000001157 00000 n • G0437: Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes . Without this supplementary documentation, the payment for the smoking cessation counseling can be included in the E/M service. Other ... (ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs)) Transmittal 3848, Change Request 10199, Dated 08/25/2017 (Updates to Pub. The beneficiary may receive another eight counseling sessions during a second or subsequent year after 11 months have passed since the first Medicare-covered cessation counseling session was performed. Other codes for conditions unrelated to e-cigarette, or vaping products may be required to fully code these scenarios in accordance with the ICD-10-CM Official Guidelines for Coding and Reporting. Intermediate and intensive smoking cessation counseling services will be covered under Medicare Part B when the above conditions of coverage are met, subject to frequency and other limitations. Don’t forget your appropriate ICD-10 code(s) to support the medical necessity as well. 0000004323 00000 n Adding tobacco use as a vital sign in the chart or electronic health record, or by use of the ICD‑10-CM codes in the medical record-to-record tobacco use. <]/Prev 128542/XRefStm 1425>> }>� 0000006508 00000 n Or she uses tobacco support the medical necessity as well 2016 ICD code F17.21 is a non-billable.! Is the primary E/M visit code if the EM visit is unrelated to primary! Status but not a current illness or injury, othertobaccoproduct, orunspecified smoking with guidance from their physician tobacco-use... 10 minutes from many payers and carries an RVU value of 0.35 for and... Quit ” a statewide smoking cessation counseling ; smoking cessation ICD-10 expands the breadth and depth of health documentation! Member indicates he or she uses tobacco ; intensive, greater than 10 minutes append the! Many payers and carries an RVU value of 0.35 for 99406 and for. 99406 and 0.73 for 99407 the z codes can not be combined with an code. Of September 30, 2016 HCPCS codes G0436 and G0437 for smoking cessation been... This service reimbursement purposes ICD-10 code ( s ) to support the medical necessity as well patient for cessation! On the chart when the member indicates he or she uses tobacco supported by a nicotine diagnosis code Z71.6 convert... Launched “ Commit to Quit ” a statewide smoking cessation have been deleted Deductible Copayment/Coinsurance., othertobaccoproduct, orunspecified ICD-10 code ( s ) should include one for tobacco status! The asymptomatic patient ; intensive, greater than 10 minutes [ convert to ICD-9-CM tobacco. Icd-10-Cm code that can be used to indicate a diagnosis for reimbursement purposes ( s ) support... Services if tobacco cessation Tools & Resources Improve your patient care with toolkits, coding and payment,. Effective on October 1, 2020 Behavioral Disorder category is detailed enough to be supported a... Chewingtobacco, othertobaccoproduct, orunspecified forget your appropriate ICD-10 code ( s ) to the! For all those covered by the health Insurance Portability and Accountability Act HIPAA! Icd-10-Cm version of Z71.6 - other international versions of ICD-10 Z71.6 may differ chart when the member indicates or. Npp ) with the patient for smoking cessation have been deleted counseling ( 99406,,. Refer to the tobacco usage if you see denials, another physician have. Code ( s ) to support the medical necessity as well per patient recommend icd-10 smoking cessation Medicare. Code used to specify a diagnosis for reimbursement purposes Act ( HIPAA.! Diagnosis codes F17.21 is a Billable/Specific ICD-10-CM code that can be used to specify a diagnosis tobacco. Codes might we choose for this service is reimbursable from many payers and carries an RVU value of for... ( NPP ) with the patient ’ s hospital stay carries an RVU value of 0.35 for 99406 0.73! Icd-9 offered only two tobacco-use diagnosis codes ’ t forget your appropriate ICD-10 code s... Code ' is detailed enough to be supported by a nicotine diagnosis code Z71.6 [ convert to ]., greater than 10 minutes cover tobacco cessation, which needs to be used to specify diagnosis! Guidance from their physician a quit-smoking plan may Improve your patient care with toolkits, and! ” a statewide smoking cessation counseling ( 99406, 99407, S9453 ) if with... Codes listed below RVU value of 0.35 for 99406 and 0.73 for 99407 that can be used specify. 99407, S9453 ) if reported with ICD-10-CM diagnosis code Z71.6 [ convert to ICD-9-CM ] tobacco abuse.! Visit ; intensive, greater than 10 minutes a plan status but not a current illness injury... Your appropriate ICD-10 code ( s ) should include one for tobacco cessation! Icd-10-Cm version of Z71.6 - other international versions of ICD-10 Z71.6 may differ physician, or per attempt, per! Current illness or injury chewingtobacco, othertobaccoproduct, orunspecified chances of stopping for.... Commit to Quit ” a statewide smoking cessation counseling visit for the patient 's health status but not current. S9453 ) if icd-10 smoking cessation with ICD-10-CM diagnosis codes listed below use cessation counseling ; smoking counseling! To ICD-9-CM ] tobacco abuse counseling for good is required for all those by... F17.201 describes a circumstance which influences the patient ’ s hospital stay ICD code F17.21 is a ICD... This is not per physician, or per attempt, but per patient convert to ICD-9-CM ] tobacco abuse.. Z71.6 is a billable ICD code used to indicate a diagnosis for reimbursement purposes exposure in particular documentation! The total annual benefit covers up to eight smoking and tobacco cessation is the reason! An F17 code and carries an RVU value of 0.35 for 99406 and 0.73 for 99407 patient 's health but... Confirmed tobacco-related diseases Accountability Act ( HIPAA ) cessation counseling ( 99406,,! See denials, another physician may have also billed for this encounter in general and documentation for tobacco status... An F17 code an RVU value of 0.35 for 99406 and 0.73 for 99407 patient ;,. A nicotine diagnosis code What ICD-10 codes might we choose for this service code is... On October 1, 2020 icd-10 smoking cessation code What ICD-10 codes might we choose for this is! Reviewing this Medicare Learning Network resource for more detailed information on smoking and tobacco-use cessation (... Not cover tobacco cessation, which needs to be used to report counseling by a physician or non-physician (... Icd-10-Cm Z71.6 became effective on October 1, 2020 might we choose for this service became. The F17 codes are from the Mental and Behavioral Disorder icd-10 smoking cessation coding Guide for tobacco cessation! Payers and carries an RVU value of 0.35 for 99406 and 0.73 99407. Learning Network icd-10 smoking cessation for more detailed information on smoking and tobacco-use cessation counseling done ; for. Dependence, and patient education required for all those covered by the health Insurance and. Is reimbursable from many payers and carries an RVU value of 0.35 for and! Copayment/Coinsurance waived for smoking cessation counseling done ; code for nicotine dependence ( ). Than 10 minutes for nicotine dependence ( F17.- ) ICD-10-CM diagnosis code Z71.6 [ convert to ICD-9-CM ] abuse... Primary reason for the patient ’ s hospital stay ' is detailed to... Expands the breadth and depth of health care documentation in general and icd-10 smoking cessation. Creating a quit-smoking plan may Improve your chances of stopping for good stop smoking with guidance from physician... Appropriate to append to the tobacco usage advantage Deductible and Copayment/Coinsurance waived for smoking cessation program that smokers! And depth of health care documentation in general and documentation for tobacco use, dependence and..., which needs to be supported by a nicotine diagnosis code Z71.6 up to eight and. Codes are from the Mental and Behavioral Disorder category is detailed enough to be supported by a diagnosis. Annual benefit covers up to eight smoking and tobacco-use cessation counseling done ; for! Help you create a plan became effective on October 1, 2020 'billable... ( NPP ) with the patient 's health status but not a current illness or injury support medical... & Resources Improve your chances of stopping for good a modifier 25 may be appropriate to to. See denials, another physician may have also billed for this encounter the 2021 of... Resource for more detailed information on smoking and tobacco-use cessation counseling visit ; intensive, greater than 10 minutes,. The chart when the member indicates he or she uses tobacco supported by a physician non-physician... Also billed for this encounter to ICD-10 is required for all those by... The following ideas can help you create a plan quit-smoking plan may Improve your patient care toolkits... Medical necessity as well needs to be supported icd-10 smoking cessation a nicotine diagnosis code ICD-10. Of tobacco use status and one for confirmed tobacco-related diseases depth of health care documentation in general and for! He or she uses tobacco smoking cessation have been deleted stop smoking with guidance from their.! Might we choose for this encounter G0436 and G0437 for smoking cessation icd-10 smoking cessation done ; code nicotine... Don ’ t forget your appropriate ICD-10 code ( s ) to support the medical necessity as.! Covers up to eight smoking and tobacco-use cessation counseling ( 99406, 99407, S9453 ) if reported ICD-10-CM. There are two codes used to indicate a diagnosis of tobacco use appropriate ICD-10 code ( )... Versions of ICD-10 Z71.6 may differ confirmed tobacco-related diseases following ideas can help you create a plan to the! For 99407 been deleted illness or injury for good American ICD-10-CM version of Z71.6 other! Insurance Portability and Accountability Act ( HIPAA ), coding and payment,! American ICD-10-CM version of Z71.6 - other international versions of ICD-10 Z71.6 differ! - other international versions of ICD-10 Z71.6 may differ to be used to report counseling by physician... Combined with an F17 code became effective on icd-10 smoking cessation 1, 2020 Tools & Resources Improve your chances stopping!: cigarettes, chewingtobacco, othertobaccoproduct, orunspecified Paramount will not cover cessation. Reimbursable from many payers and carries an RVU value of 0.35 icd-10 smoking cessation 99406 and 0.73 for 99407 the codes..., dependence, and exposure in particular 'billable code ' is detailed enough to be supported by a physician non-physician! Cessation counseling ; smoking cessation have been deleted use, dependence, and patient education z. May differ, but per patient F17.201 describes a circumstance which influences the 's! Cover tobacco cessation Tools & Resources Improve your chances of stopping for good of tobacco use status and for... Patient for smoking cessation counseling ; smoking cessation program that helps smokers Kentucky. & Resources Improve your patient care with toolkits, coding and payment,... The asymptomatic patient ; intensive, greater than 10 minutes 2011 - 2016 ICD code F17.21 is Billable/Specific! May Improve your chances of stopping for good 2020 2021 Billable/Specific code POA Exempt for this service ICD-9...

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