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You must code: Whether the patient has a crisis The exact type of Crisis Any associated conditions For example: D57.01 Sickle-cell disease with acute chest syndrome D57.03 With splenic sequestration D57.00 Without Crisis If the patient is NOT in Crisis, say it clearly in the note

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Prompt parenteral administration of vitamin B12 prevents progression of neurologic damage

Vitamin B-12 is a lot like a key, opening up doorways that lead to an array of metabolic and cellular processes

As you age you will naturally lose this fat and premature removal means accelerated ageing, youll look worse as a result