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Repeat encounters with H57.9: Payers expect specificity to increase over time H57.9 paired with certain procedures: If the procedure implies a known condition, the unspecified diagnosis contradicts the claim H57.9 on claims where a prior visit already had a specific eye code: The record should logically carry forward High-volume H57.9 use at the practice level: Automated payer analytics flag outliers Treat unspecified code frequency as a reportable metric
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