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For these reasons, we do not anticipate that expanding the definition of intermediate risk for hepatitis B vaccine will result in a significant financial impact to the Medicare Program

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Back to All Clinical Documentation Guides ICD-10-CM Guidelines (FY2026) The following Official Coding and Reporting Guidelines, per the FY2026 ICD-10-CM Official Guidelines (effective October 1, 2025), govern pulmonary fibrosis code assignment: Etiology/Manifestation Coding (Guideline I.C.) When pulmonary fibrosis or ILD occurs as a manifestation of a systemic disease classified elsewhere, the underlying disease is sequenced first and the lung manifestation coded additionally: Systemic sclerosis with lung involvement: Code M34.81 first, then J99 for the ILD/fibrosis manifestation

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