2024 ICD-10-CM Range K00-K95. ICD-10-CM Diagnosis Code I27. ICD-10 K76. Patients with PHG also present with upper GI bleeding. Methods: Computerized search of the literature was performed via PubMed using the following medical subject headings or keywords: "portal" and "gastropathy"; or. April 1, 2021 Any new ICD-10 codes to capture new diseases or technology will be implemented on April 1, 2021. For portal hypertensive gastropathy,. underlying liver disease, such as:; acute and subacute hepatic failure without coma (K72. Phlebitis of portal vein. 5 for Hepatic veno-occlusive disease is a medical classification as listed by WHO under the range - Diseases of the digestive system . 4%) had endoscopic duodenopathy (ED) lesions including erythema, erosions, ulcers, telangiectasia,. 311A. K76. The natural history and risk factors for bleed from GV are not extensively studied as that for esophageal varices. 413 results found. Patients with portal hypertension may experience bleeding from the stomach, and pharmacologic or radiologic interventional procedure may be useful in preventing re-bleeding from PHG. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. Search Results. 0002). Free, official info about 2015 ICD-9-CM diagnosis code 537. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Portal pyemia; pylephlebitic liver abscess (K75. 3 [convert to ICD-9-CM] Postprocedural hypertension. 9 - other international versions of ICD-10 K31. 20 [convert to ICD-9-CM] Pulmonary hypertension, unspecified. ICD-10 code K76. ICD-10-CM Alphabetical Index References for 'K31. Purpose of Review In non-alcoholic fatty liver disease (NAFLD), an increased portal pressure is observed before signs of cirrhosis or even inflammation or fibrosis are histologically present. We report the case of a patient, initially treated for acute bleeding resulting from the rupture of esophageal varices, who developed an atypical endoscopic picture of portal hypertensive duodenopathy over a 6-month period. The first noticeable symptoms of portal hypertension are usually related to new, enlarged, leaky and bleeding veins, such as: Blood in vomit. 2004. 9 contain annotation back-references that may be applicable to K31. . Coding. Short description: Oth acquired deformities of musculoskeletal system. 50? Thanks in advance. 88 Other specified diseases of stomach and duodenum. In patients with gastrointestinal bleeding due to portal hypertension, bleeding from gastric varices is the cause in 5–10% of patients [ 190 ]. 9 - disease of stomach and duodenum, unspecified. The 2024 edition of ICD-10-CM K31. 9 is a billable diagnosis code used to specify disease of stomach and duodenum, unspecified. 81 became effective on October 1, 2023. : +39 0504 5227; Fax: +39 0504 5227; E-mail: gbresci@libero. ICD-10-CM Diagnosis Code H40. 1111/j. ICD-10-CM Diagnosis Code I85. Portal hypertensive gastropathy; Severe stomach dysplasia; ICD-9-CM Volume 2 Index entries containing back-references to 537. The management of acute bleeding has changed over the last years. While prior studies were limited to ICD-9 codes, ours is the first study to test the performance of ICD-10. Portal hypertensive gastropathy: Hernia: Inguinal (Indirect, Direct) - Femoral - Umbilical - Incisional - Diaphragmatic - Hiatus:Varices and portal hypertensive gastropathy (PHG) can develop as complications of portal hypertension (PH) in patients with cirrhosis. The following code (s) above B65. 1111/j. 3 for Infarction of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . Diseases of the digestive system. Increased susceptibility to side effects from ingested toxins, such as medications, foods, and alcohol. Portal hypertensive gastropathy (PHG) is a complication of liver cirrhosis, characterized by changes in the gastric mucosa of variable severity. 2024 ICD-10-CM Range K00-K95. VA proposes to eliminate the 50- and 70-percent levels of evaluation and assign a 60-percent evaluation for a MELD score greater than 11 but less than 15, or daily fatigue with at least 1 episode in the last year of variceal hemorrhage, portal gastropathy, or hepatic encephalopathy. ICD-10-CM Diagnosis Code H40. 3: Increase, increased. 0XXS [convert to ICD-9-CM] Exposure to flames in uncontrolled fire in building or structure, sequela. 6 for Portal hypertension is a medical classification as listed by WHO under the range - Diseases of the digestive system . Banti's disease or syndrome (with cirrhosis) (with portal hypertension) Disorder of function of stomach; Gastroptosis; Intestinal metaplasia of gastric mucosa; Portal hypertensive gastropathy; Stomach dysfunction. 500 results found. 3 should only be used for claims with a date of service on or before September 30, 2015. Portal hypertension. A patient was diagnosed with stomach aderlass due to erosive gastritis real portal hypertensive gastropathy. . Showing 1-25: ICD-10-CM Diagnosis Code K76. Case Discussion. This syndrome is common in the patients with liver cirrhosis or portal hypertension (hypertension, portal). 89. 7 for Polyp of stomach and duodenum is a medical classification as listed by WHO under the range -Diseases of esophagus, stomach and d. 4 Portal hypertension may also cause varices or mucosal changes in the lower gastrointestinal (GI) tract that lead to LGIB. As a result, the nutrients from food get right into the liver. Portal hypertensive gastropathy; Post-vagotomy lesser curve necrosis; Pyloric antral vascular ectasia; Rolling hiatus hernia with gastric volvulus;portal hypertensive gastropathy ; ICD-10-CM Diagnosis Code I27. 01. 5035. Use Additional. Biliary cirrhosis. Recently, effective therapy for gastric variceal bleed in form of tissue adhesives. 61 became effective on October 1, 2023. Biliary cirrhosis, unspecified. 2012;18:178–84. Google Scholar Min YW, Bae SY, Gwak GY, et al. It is a known cause of anemia and acute or insidious gastrointestinal (GI) bleeding as well as esophageal and gastric varices and gastric antral vascular ectasia in these patients (4-6). Portal hypertensive gastropathy (PHG) is a complication of high blood pressure in your portal veins, which carry blood to your liver. This review describes the differences between the mechanisms of cirrhotic portal hypertension (PHT) and PHT in non-cirrhotic NAFLD. associated conditions if applicable, or adverse effects of drugs or toxins, such as:; adverse effect of appetite depressants (T50. The wide variation in the reported prevalence is most likely due to differences in the study population specifically, the proportion of patients with non-cirrhotic portal hypertension, the severity of the. ICD-10: K31. 8. 311A [convert to ICD-9-CM] Laceration of portal vein, initial encounter. 7 for Hepatorenal syndrome is a medical classification as listed by WHO under the range - Diseases of the digestive system . 7. Materials and Methods A search of computerized endoscopy records at our hospital revealed 118 patients with endoscopi-cally diagnosed portal hypertensive gastropathy during a 30-month period, from May 1997. Full Archives - over 3100 articles. 1. The ICD code K766. [. To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . However, PHG can occur in patients who do not have cirrhosis. This is the American ICD-10-CM version of I10 - other international versions of ICD-10 I10 may differ. 210 Comments: (1) Acute bronchitis with COPD is assigned code J44. . The following code (s) above B65. Portal hypertensive gastroenterocolopathy is a finding in portal hypertension, whereby chronic portal venous congestion leads to dilatation and ectasia of the submucosal vessels of the stomach (portal hypertensive gastropathy), small bowel (portal hypertensive enteropathy) and/or large bowel (portal hypertensive. 5X5); congenital heart disease (Q20-Q28); human immunodeficiency. The increase of portal pressure is already present in patients with NAFL, even in the absence of inflammation or fibrosis [ 3, 4 ]. It is determined by the increased portal pressure gradient (the difference in pressures between the portal venous pressure and the pressure within the inferior vena cava or the hepatic vein. 10; ICD-10-CM Codes Adjacent To I85. Current newsletters added each quarter. One study found portal hypertensive gastropathy more common in patients with gastroesophageal varices than in patients with esophageal varices alone . Epidemiology. 0. 89 Other diseases of stomach and duodenum. Portal hypertensive gastropathy (PHG) is a common endoscopic finding in patients with liver cirrhosis (LC) (1-3). Portal hypertension, which results from cirrhosis leads to a number of complications, including portal hypertensive gastropathy (PHG) and colopathy (PHC). 24 [convert to ICD-9-CM] Chronic thromboembolic pulmonary hypertension. This is the American ICD-10-CM version of E78. Applicable To. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Endoscopic view of the gastric mucosa, showing hemorrhagic spots caused by portal hypertensive gastropathy. In the present study, the clinical features, portohepatic he- modynamics, and hepatic function were investi- gated in a series of 47 patients with cirrhosis. 9Disease of stomach and duodenum, unspecified2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code. 4 [convert to ICD-9-CM] Hypertensive encephalopathy. The natural history and risk factors for bleed from GV are not extensively studied as that for esophageal varices. is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 11 - other international versions of ICD-10 A08. 0 [convert to ICD-9-CM] Elevated blood-pressure reading, without diagnosis of hypertension. 0):ICD-10-CM Diagnosis Code Z87. The American Journal of Gastroenterology. 3-) cirrhosis of liver. 6 ICD-9 572. Its prevalence has been reported to range from 11% to 98%. Original posting/updates : 9/9/09, 4/16/10 You are Here: Stanford Medicine » School of Medicine » Departments » Surgical Pathology Criteria » Portal Hypertensive GastropathyThe year 2010 saw a revision of the Japanese General Rules [50]: the new rules added recommendations for diagnosis of portal hypertensive gastropathy and a new grading and classification based on endoscopic ultrasonography. 6 for Portal hypertension. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Approximately 65–90% of those patients have mild PHG whereas 10–25% of patients have severe PHG. I10-I1A. ICD-10 code K31. 81. Hypertensive crisis. K76. 89) K31. Portal hypertension is a major complication of cirrhosis, leading to esophageal varices (EV), ascites, hepatic hydrothorax, hepatic encephalopathy (HE), portal hypertensive gastropathy (PHG), and other complications. 051 [convert to ICD-9-CM] Ocular hypertension, right eye. 309. 438 results found. However, PHG can occur in. The superior mesenteric vein and the splenic vein unite behind the neck of the pancreas to form the portal vein. 81 for Angiodysplasia of stomach and duodenum is a medical classification as listed by WHO under the range - Diseases of the digestive system . Normal examined duodenum. WA Clinical Coding Authority 1 ICD-10-AM/ACHI/ACS Summary of Major Tenth Edition Changes This document is a supplement to the ACCD’s ICD-10-AM/ACHI/ACS Tenth Edition Education material; Tenth Edition FAQs Part 1, 2 and 3; and Addenda to Errata 2 – Issues identified in FAQs. 90, Other and unspecified alcohol dependence, unspecified, Code 571. 1, Acute alcoholic hepatitis, and code 456. Portal hypertensive gastropathy |5|. 89 [convert to ICD-9. 3 - D69. 9 : K00-K95. 9 contain annotation back-references that may be applicable to B65. Other specified diseases of liver: K76. ICD. K76. Although the prevalence of PHG in cirrhotic patients ranges from 20% to 80%, only 10–15% of PHG patients develop significant gastric bleeding [1], [2]. A 'billable code' is detailed enough to be used to specify a medical diagnosis. Synonyms: disorder of duodenum, disorder of stomach, erosive. 8 [convert to ICD-9-CM] Other secondary hypertension. Stomach diseases include gastritis, gastroparesis, Crohn's disease and various cancers. 0 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. Portal hypertension is a major complication of cirrhosis, leading to esophageal varices (EV), ascites, hepatic hydrothorax, hepatic encephalopathy (HE), portal hypertensive gastropathy (PHG), and other complications. K76. . [QUOTE="Senthil, post: 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. Includes coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion info. 9 became effective on October 1, 2023. GI bleeding in cirrhotic patients is generally classified into variceal bleeding and non-variceal bleeding. [QUOTE="Senthil, post: 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. 2012;36:736) High rates of concurrent conditions in certain ethnic groups: Hispanics - diabetes, African Americans - hypertension, Caucasians. 9 contain annotation back-references that may be applicable to K31. 033 [convert to ICD-9-CM] Hypertensive retinopathy, bilateral. Search All ICD-10 Toggle Dropdown. Portal hypertension is a major complication of cirrhosis, and its consequences, including ascites, esophageal varices, hepatic encephalopathy, and hepatorenal syndrome, lead to substantial morbidity and mortality. 8 - other international versions of ICD-10 D12. Hypertension complication after surgery; Postoperative hypertension. PH • Western countries: Cirrhosis most common Non-cirrhotic < 10 % • Worldwide Non-cirrhotic: Schistosomiasis, portal vein thrombosis, idiopathic425 results found. 9 is a billable diagnosis code used to specify disease of stomach and duodenum, unspecified. K76. 10 ICD-10 code R65. The natural history of portal hypertensive gastropathy in patients with liver cirrhosis and mild portal hypertension. doi: 10. Portal hypertensive gastropathy; Severe stomach dysplasia; ICD-9-CM Volume 2 Index entries containing back-references to 537. 2 [convert to ICD-9-CM] Benign intracranial hypertension. Gastroenterology. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I85. 2016 (effective 10/1/2015): New code (first year of. Portal hypertensive gastropathy and gastric antral vascular ectasia Curr Opin Gastroenterol. 89;. 6: Portal hypertension . 89. Synonyms: abnormal gastric motility, achylia gastrica, acquired deformity. 19. Gastrointestinal bleeding related to portal hypertension is a serious complication in patients with liver cirrhosis. 6 can also apply to: Banti's disease or syndrome (with cirrhosis) (with portal. 81 may differ. 2024 ICD-10-CM Range K00-K95. Charneau J, Petit R, Cales P, et al. 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. for ICD-10-CM and ICD-10-PCS (ICD-9) 3,895 articles since 1984. Endoscopic view of the gastric mucosa, showing hemorrhagic spots caused by portal hypertensive gastropathy. The mortality and morbidity risks commonly found with. 21. Am J Gastroenterol. Complications of portal hypertension in cirrhotic patients include esophageal and gastric varices, portal hypertensive gastropathy, ascites, hepatorenal syndrome, hepatopulmonary syndrome and portopulmonary hypertension. -); hypertensive heart and chronic kidney disease (I13. 2018 - New Code. The portal hypertensive gastropathy was graded as severe in 12 patients and mild in 25 patients. This is the American ICD-10-CM version of - other international versions of ICD-10. Portal hypertensive gastropathy; Severe stomach dysplasia; ICD-9-CM Volume 2 Index entries containing back-references to 537. This article reviews the clinical features, diagnosis, pathophysiology, and management of PHE, and compares it with other forms of autoimmune enteropathy. 89) K76. 2024 ICD-10-CM Range A00-B99. 6: Thrombocytopenia: D73. 11 [convert to ICD-9-CM] Secondary esophageal varices with bleeding. Its prevalence has been reported to range from 11% to 98%. Clinically, varices present with acute onset of upper. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Hepatorenal syndrome: Excl1. Description of the clinical, endoscopic, and histopathologic detailed profiles of duodenal affection in portal hypertensive patients. Applicable To. Portal hypertensive gastropathy (PHG) is a common endoscopic finding in patients with liver cirrhosis (LC) (1-3). 01 [convert to ICD-9-CM] Esophageal varices with bleeding. ICD-Code K76. McCormack et al. 9 for Liver disease, unspecified is a medical classification as listed by WHO under the range - Diseases of the digestive system . 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This guidance provides a data-supported approach to risk stratification, diagnosis, and management of patients with cirrhosis and portal hypertension (PH). The diagnosis is made endoscopically; therefore, there is great variability in their assessment. 500 results found. Patients with liver cirrhosis and portal hypertension are widely accepted to be at risk of developing acute upper gastrointestinal bleeding. 1. Miami, FL 33125. ICD-10-CM Diagnosis Code K21. Cirrhotic PHT is associated with an elevated hepatic venous pressure gradient (HVPG) predominantly due to raised sinusoidal resistance, while in the non-cirrhotic PHT. The rate of occurrence of. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1:ICD-10 code K76. ICD-10-CM Diagnosis Code I67. Portal Hypertension. Portal hypertensive gastropathy; Post-vagotomy lesser curve necrosis; Pyloric antral vascular ectasia; Rolling hiatus hernia with gastric volvulus; Rupture of duodenum;portal hypertensive gastropathy : K76. ICD-10-CM K76. 00 may differ. This is the American ICD-10-CM version of B65. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code I27. Diseases of liver. ICD-10-CM Index; ICD-10-CM External Causes Index; Table of Drugs; Table of Neoplasms; Conversion; DRG; Rules . . portal hypertensive gastropathy : K76. venous pressure 459. 9 Disease of stomach and duodenum, unspecified. Read the "AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS (ICD-9)" newsletter article titled: "Portal Hypertensive Gastropathy" - Subscription necessarycode for any associated complications, such as:; portal hypertensive gastropathy (K31. 500 results found. While gastric vascular ectasia (GAVE) may also occur in patients with cirrhosis and lead to GI bleeding, it is a specific gastric mucosal disease. Different causes of gastropathy fall under different sub-types. Toggle navigation. 3-), cirrhosis of liver w/o mention of alcohol (K74. gov. Full Archives - over 3100 articles. K31. The pressure in your portal vein is too high. ICD-10-CM-2023: K76. 3, including coding notes, detailed descriptions, index cross-references and ICD-10-CM conversion. Synonyms: disorder of duodenum, disorder of stomach, erosive. 1 - other international versions of ICD-10 K75. This is the American ICD-10-CM version of K52. This is the American ICD-10-CM version of K75. K76. 9 for Disease of stomach and duodenum, unspecified is a medical classification as listed by WHO under the range - Diseases of the digestive system . . 1. This article reviews the clinical features, diagnosis, pathophysiology, and management of PHE, and compares it with other forms of autoimmune enteropathy. Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes. Gastropathy 537. 2. 3 DiseasesDB 10388. Gastric antral vascular ectasia (GAVE. Showing 1-25: ICD-10-CM Diagnosis Code I27. Assign K31. Chronic venous hypertension w ulcer and inflammation; code to specify site and severity of ulcer (L97. 819 - angiodysplasia of stomach and duodenum without bleedingFree, official information about 2008 (and also 2009-2015) ICD-9-CM diagnosis code 537. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Current newsletters added each quarter. 30 may differ. Portal hypertension. 7 - Hepatorenal syndrome. Acute bleeding from PHG was diagnosed in 12 patients (0. Diagnosis is based on clinical criteria, often in conjunction. Other specified diseases of liver. More than 90% of severe bleeding occurs due to acute portal hypertensive gastropathy, whereas only 10% of severe bleeding is due to mild portal hypertensive gastropathy. The clinical implications of PHG as a prognostic factor of LC or a predictive factor for the development of hepatocellular carcinoma (HCC) have not been established. Portal gastropathy is congestion of the distal stomach due to increased pooling of blood in the veins that drain the stomach, caused by portal hypertension. o Liver cirrhosis and/or portal hypertensive gastropathy o Familial adenomatous polyposis o Personal history of colonic polyp . ICD-10-AM/ACHI/ACS Summary of Major Tenth Edition Changes continuedPortal hypertensive colopathy (PHC) is a new clinical entity in patients with liver cirrhosis. To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS . Upper endoscopy done for further evaluation revealed grade 2-3 esophageal varices and elongated cascade stomach consistent with congestive portal. K76. Disorder of function of stomach; Gastroptosis; Intestinal metaplasia of gastric mucosa; Portal hypertensive gastropathy; Stomach dysfunction ICD-10-CM Diagnosis Code K31. Resistant hypertension. 7 and 11. ICD-10-CM Diagnosis Code N76. [ Read More ]Search Results. 89) The use of ICD-10 code K76. Portal hypertension is the leading cause of morbidity and mortality in liver cirrhosis. 1 may differ. 82); Group 4 pulmonary hypertension. ICD-10-CM Diagnosis Code R15. This SOP covers chronic gastritis (inflammation of the stomach lining) due to infection and chronic gastropathy (damage to the stomach lining with minimal or no inflammation) due to non-infectious causes. 89) Includes Excludes I Excludes II Notes From Section K70-K77: hemochromatosis (E83. 89 for Other specified diseases of liver is a medical classification as listed by WHO under the range - Diseases of the digestive system . Gastropathy K31. 70 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of I85. Portal hypertension. Portal (vein) obstruction. 3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 572. Gastropathy - K31. 0, Iron deficiency anemia secondary to blood loss (chronic). Portal hypertensive colopathy (PHC) is a new clinical entity in patients with liver cirrhosis. Portal hypertension and gastrointestinal bleeding: diagnosis, prevention and management. 82. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 62 However, bleeding is relatively less common, with 10. -) ICD-10-CM Diagnosis Code R03. 88 Other specified diseases of stomach and duodenum. ICD-10 code K76. ICD. K31. specific type of existing hypertension, if known, such as:; essential hypertension (I10); secondary hypertension (I15. 451924, member: 405160"]Hi all, What is the code for portal hypertensive gastropathy?[/QUOTE] Hi Senthi, Portal hypertensive gastropathy ICD 10 cm Cod. Disorder of function of stomach; Gastroptosis; Intestinal metaplasia of gastric mucosa; Portal hypertensive gastropathy; Stomach dysfunction. Patients with portal hypertension may experience bleeding from the stomach, and pharmacologic or radiologic interventional procedure may be useful in preventing re-bleeding from PHG. The past several decades have seen major improvements in the clinical management of complications of portal hypertension, resulting in substantial gains in patient outcomes. The addition of ICD-10-AM codes for specific cirrhosis-related complications in a stepwise algorithm reduced the potential for missing cases of cirrhosis, at the expense of increasing the number of false-positives (particularly encounters in patients with non-cirrhotic portal hypertension). 811 - angiodysplasia of stomach and duodenum with bleeding K31. 0):ICD-10-CM Diagnosis Code Z87. Diseases of liver. Gastrointestinal bleeding accounts for up to 25% of overall mortality in patients with cirrhosis. ICD-10-CM K76. Read the "AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS (ICD-9)" newsletter article titled: "Portal Hypertensive Gastropathy" - Subscription requiredA-HA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2020 Issue 1; Ask the Editor Portal Hypertensive Gastropathy. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 89; erythematous 535.