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J Orthop Surg Res 17 , 290 (2022)

Med Clin 149:227228 Moreno-Izquierdo C, Zurita J, Contreras-Yametti F, Jara-Palacios M (2020) Mycobacterium abscessus subspecies abscessus infection associated with cosmetic surgical procedures: Case series

234 Another randomized controlled trial in 65 women with fibromyalgia compared 500 mg of oral acetyl-L-carnitine three times daily to treatment with the antidepressant duloxetine

This is not optional omitting Z79.4 understates the complexity of management, may affect risk adjustment (HCC documentation support), and misrepresents the patients treatment regimen