Forms must be keyed in all CAPITAL LETTERS.
“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.
H21_Diagnosis1
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Three to five character string. The first character
can be alpha or numeric. All other characters are numeric.
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Punctuation and spaces are optional.
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H21_Diagnosis2
|
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H21_Diagnosis3
|
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H21_Diagnosis4
|
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H21_Diagnosis5
|
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H21_Diagnosis6
|
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H21_Diagnosis7
|
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H21_Diagnosis8
|
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H21_Diagnosis9
|
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H21_Diagnosis10
|
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H21_Diagnosis11
|
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H21_Diagnosis12
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These are all acceptable entries: Examples
795.01
|
795 01
|
75901
|
E7801
|
The ICD-9
allows for four codes & The ICD-10 allows for 12 codes:

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