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The evidence for convergent evolution presented here is likely an underestimate, as previous studies have illustrated parallel acquisition of mutations through disease progression in genetically identical inter-patient cancers 54 as well as in intra-patient single-cell resolution characterisation of melanoma 29

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Documentation Requirements Payers Expect For clean reimbursement, documentation must show: MCV value B12 or folate levels (when relevant) Provider assessment stating the cause Linkage between deficiency and anemia Chronic condition linkage when present Without this, coders are forced into unspecified codes