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Clinical Indicators for Coders/CDI The following indicators, when present in physician documentation, laboratory values, or diagnostic reports, support assignment of a Crohns disease diagnosis and may trigger CDI queries for greater specificity: When imaging or operative reports document a fistula, abscess, or bowel obstruction in a patient with known Crohns disease, and the attendings Crohns diagnosis code lacks a complication specifier, query the provider: Does the patients current admission involve Crohns disease with [fistula / abscess / obstruction / rectal bleeding] as a complication of the Crohns, a separate condition, or both? This distinction determines whether to code K50.x13, K50.x14, K50.x12, or K50.x11 vs

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Although this pathway is not active in most bodily tissues, in vivo radiolabeling and tracing studies demonstrated that the liver predominantly relies on tryptophan to produce NAD + and that hepatic NAD + degradation generates NAM, which is released into the circulation and utilized by other tissues to form NAD + [26]