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Detecting atrophic gastritis upon gastroscopy strongly supports the diagnosis, as does a positive finding of autoantibodies against intrinsic factor in a blood sample

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If the influenza vaccination is provided in response to a potential exposure (e.g., Td vaccine administered as part of wound care), the ICD-10 code describing the underlying condition should be reported as the primary diagnosis, with Z23 (Encounter for immunization) used as the secondary diagnosis code