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hello everyone welcome to hands-on icd-10 coding tutorial session 18 code first and use additional code first an overview of this session in session 18 I will talk about what are code first and use additional code and then I will give you some examples of for code first and then some examples for use additional code so what are code first and use additional code lets go to the icd-10-cm menu so I under a table of contents this one section talk about the instructional notations so here theres a 1-1 section for the code first and used additional codes so you can read by yourself you can pause the video to read this section to understand what our code first and use additional code so but here I would just give you an example to explain what this session does to knows me so this benefit - attention code for example heart failure and specified eye 50.9 thats what patients display what the patient problem is and then usually under this same and efficient code you have code first to remin