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D51.0 — Pernicious Anemia (Intrinsic Factor Deficiency) This code should only be used when the provider documents: Intrinsic factor deficiency Autoimmune gastritis History of gastric bypass Proven malabsorption If the provider writes “low B12,” don’t use D51.0—that’s overcoding and could trigger audits

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The actin-myosin cross-bridge is broken and smooth muscle relaxation ensues to cause vasodilation [197]