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D51.9 - Vitamin B12 deficiency anemia, unspecified: Utilized when macrocytic anemia is due to vitamin B12 deficiency, but the specific cause is unspecified

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Without that clinical statement, the anemia due to ckd icd 10 assignment defaults to D64.9, the HCC capture is lost, and even a clean iron deficiency anemia icd 10 secondary code won't rescue the anemia in ckd icd 10 claim

extend to 16+ weeks for severe suppression