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It indicates: Type of encounter Stage of treatment Healing status Commonly required for: Injuries (S00T88) Fractures Burns Poisonings & adverse effects Certain musculoskeletal conditions Key reminders every coder should remember: A = Initial encounter (active treatment) D = Subsequent encounter (recovery phase) S = Sequela (late effects) Use X placeholders when needed Missing the 7th character = Invalid code Pro Tip: Always verify the Tabular List even if the Alphabetic Index doesnt show it, the 7th character requirement is listed there

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Both ENDS exposure groups elicited varying downregulation of critical placental development genes depending on fetal sex