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Woodruff, R
If a patient had a fall last year and you coded Z91.81, but now it has been 18 months with no falls, you should remove the code

Although mild relapses may not require treatment (90), there is a consensus that moderate to severe disabling relapses should be treated using systemic steroids (preferably corticosteroids)

Praet J, Guglielmetti C, Berneman Z, Van der Linden A, Ponsaerts P

Navar 1997