A note that simply states eye problem does not meet the standard unless it records which diagnostic steps the clinician took, what the workup ruled out, and why a specific code was not possible
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Zhou, Y., Asplund, L., Yin, G., Athanassiadis, I., Wideqvist, U., Bignert, A., Qiu, Y., Zhu, Z., Zhao, J., & Bergman,