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End-stage renal disease (on maintenance hemodialysis, Monday, Wednesday, and Friday), most likely secondary to the following:Hypertension. Continue same antihypertensive regimen as ordered.Type 2 diabetes mellitus. Continue oral antidiabetic agents. Continue the same dialysis orders as above.Previous chronic use of NSAID (nonsteroidal antiinflammatory drug)/COX-2 inhibitors.Anemia due to chronic renal disease.Questionable diverticulosis; status post multiple herniorrhaphies; status post- cholecystectomy.Discharge planning: The plan is to discharge the patient to rehabilitation medicine.At this time, the patient appears to be stable and is tolerating hemodialysis. We will continue to follow this patient from the renal/hemodialysis standpoint. She will get erythropoietin 10,000 units IV (intravenous) after hemodialysis today.Should a modifier be added to the CPT code in order to submit the insurance claim

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