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Hay reporte de necrosis avascular o asptica de la cabeza del fmur o hmero, lesiones que son ms frecuentes con dosis altas y sostenidas por largo tiempo, aunque tambin con dosis bajas y por periodos de tiempo corto

You must code: Whether the patient has a crisis The exact type of Crisis Any associated conditions For example: D57.01 Sickle-cell disease with acute chest syndrome D57.03 With splenic sequestration D57.00 Without Crisis If the patient is NOT in Crisis, say it clearly in the note

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