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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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Absorption can be inhibited by poorly functioning kidneys, cigarette smoke, nitrous oxide used for anaesthesia, heating food in a microwave or cooker and some medications, including Metformin (for diabetes), anticonvulsants and proton pump inhibitors (PPIs)