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G - subsequent encounter for closed fracture with delayed healing H - subsequent encounter for open fracture type I or II with delayed healing J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing K - subsequent encounter for closed fracture with nonunion M - subsequent encounter for open fracture type I or II with nonunion N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion Episode of Care - Open Fracture, Cont P - subsequent encounter for closed fracture with malunion Q - subsequent encounter for open fracture type I or II with malunion R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion S - sequela 7th Character for Obstetrics 0 - not applicable or unspecified 1 - fetus 1 2 - fetus 2 3 - fetus 3 4 - fetus 4 5 - fetus 5 9 - other fetus New Features in ICD-10-CM Inclusion of trimesters in obstetrics codes and elimination of 5th digits for episode of care O10.012 Pre-existing essential hypertension complicating pregnancy, second trimester O99.013 Anemia complicating pregnancy, third trimester Examples: Remember the first digit is the letter O not the number zero Classification Changes Certain diseases have been reclassified to a more appropriate chapter Example gout was reclassified from endocrine to musculoskeletal Postoperative complications have been moved to procedurespecific body system chapters Eyes and ears have their own chapters Injury, Poisoning, and Certain Other Consequences of External Causes Added Certain Other Consequences of External Causes Significant modifications made Arranged by body region beginning with the head and concluding with ankle/foot vs

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However, moist snuff in pre-portioned pouches causes fewer cases of leukoplakia than does the loose form [58]