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Use HCPCS J-codes for the drug itself

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Per the FY2026 ICD-10-CM Official Guidelines Section I.C.14, the CKD stage code is sequenced first

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Mechanism in research literature NNMT (nicotinamide N-methyltransferase) catalyses the methylation of nicotinamide using S-adenosylmethionine (SAM) as the methyl donor, producing 1-methylnicotinamide (1-MNA) and S-adenosylhomocysteine

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