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With Convention Automatic Presumptive Linkage Coding Clinic has clarified that the with convention in ICD-10-CM Guideline I.A.15 establishes a presumptive causal relationship based on the Alphabetic Index structure alone no explicit documentation of causation is required from the provider

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This particular product falls within the category of skin-lightening products and should not be used in any quantity to ensure the safety and preservation of health.