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As the American College of Obstetricians and Gynecologists notes in its coding library guidance, either Z01.411 or Z01.419 may be used depending on the circumstances of the gynecological examination the choice is always driven by documentation, not by assumption

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Spermatogenesis parameters, histopathology, testosterone levels, oxidative stress markers and gene expression of Nrf2 , autophagy and germ cell markers were evaluated