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With Convention Automatic Presumptive Linkage Coding Clinic has clarified that the with convention in ICD-10-CM Guideline I.A.15 establishes a presumptive causal relationship based on the Alphabetic Index structure alone no explicit documentation of causation is required from the provider

Thymosin beta-4 is known for its involvement in actin dynamics and cell movement, and the literature describes roles in wound healing and angiogenesis (including hair follicle-related biology in certain models) [5]

doi:10.1001/jamaoto.2021.4470