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Approximately one year later, he experienced a severe worsening of his previously very mild neuropathy, and lab evaluation yielded a serum B12 of 220 pmol/l (which is normal, remember!?), but an elevated serum MMA of 1300 nmol/l, supporting the existence of true B12 deficiency

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Common Symptoms That Trigger D64.9 Usage: Fatigue and generalized weakness Dizziness or light-headedness Shortness of breath with mild activity Pale skin or cold hands and feet Clinical Scenarios for Use: Initial visits with symptoms pointing to anemia Awaiting lab results to confirm anemia subtype Elderly patients with chronic low hemoglobin Best Practice Tip: Document signs and symptoms clearly while pending further diagnosis

This is an etiology/manifestation coding convention look for the dagger () and asterisk (*) notation in the ICD-10-CM Tabular List

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Expert Rev Clin Pharmacol