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Coding Without Crisis in Sickle Cell Anemia When the Chart Doesnt Support It Sickle cell coding has one important rule: If the provider doesnt clearly write without crisis, you cannot code it that way

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[21] When treated with cyanocobalamin, patients with Leber's disease may develop serious optic atrophy, possibly leading to blindness, based on few case reports

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Diagnostic and Statistical Manual of Mental Disorders DSM-3 3rd (1980)