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using consistent terminology in conversations helps ensure accurate documentation Encourage patients to bring their complete medication list (including oral hormone pills and targeted agents) to every appointment so all active treatments are documented Remind patients that side effects of adjuvant treatment (fatigue, nausea, neuropathy) should be reported to their oncologist they are important for complete medical record documentation For patients transitioning off adjuvant therapy: the point at which treatment ends is clinically significant both for the patients health management and for accurate coding transition from active cancer codes to history of cancer codes Summary for CDI Specialists Accurate adjuvant therapy coding requires three key actions: (1) confirm the encounter purpose to determine whether Z51.0/Z51.11/Z51.12 is PDx or additional

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1995;269(5 Pt 2):R120412

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Yamaguchi et al

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