\documentclass[10pt,a4paper]{article}

% Packages
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\usepackage{multicol}           % Allows multicols in tables
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\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
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%\usepackage[utf8x]{inputenc}    % For unicode character support
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\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{awimpey1990 (awimpey1990)}
\pdfinfo{
  /Title (ob-gyn-coding.pdf)
  /Creator (Cheatography)
  /Author (awimpey1990 (awimpey1990))
  /Subject (OB/GYN coding Cheat Sheet)
}

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% This two commands together give roughly
% the right line height in the tables
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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
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% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{OB/GYN coding Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{awimpey1990 (awimpey1990)} via \textcolor{DarkBackground}{\uline{cheatography.com/183033/cs/38086/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}awimpey1990 (awimpey1990) \\
  \uline{cheatography.com/awimpey1990} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 4th April, 2023.\\
   Updated 4th April, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
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% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

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% Row 1
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% Row 2
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% Row 3
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% Row 0
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% Row 1
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% Row 2
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% Row 3
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% Row 4
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% Row 5
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{GYN encounters}}  \tn
% Row 0
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\seqsplit{Z01.411} & GNY exam w/ abnormal findings \tn 
% Row Count 1 (+ 1)
% Row 1
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\seqsplit{Z01.419} & GNY exam w/o abnormal findings \tn 
% Row Count 2 (+ 1)
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\mymulticolumn{2}{x{5.377cm}}{\seqsplit{https://www.cms.gov/medicare/coding/icd10/downloads/icd10clinicalconceptsobgyn1.pdf}}  \tn 
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Documentation Stuff}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{preventive cares discussed} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{encouraged adequate calcium intake; calcium counts handout} \tn 
% Row Count 3 (+ 2)
% Row 2
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% Row Count 4 (+ 1)
% Row 3
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% Row Count 5 (+ 1)
% Row 4
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% Row Count 6 (+ 1)
% Row 5
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% Row Count 7 (+ 1)
% Row 6
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% Row 7
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% Row 0
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99384 new & 99394 est & 12-17 years \tn 
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% Row 1
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99385 new & 99395 est & 19-39 years \tn 
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% Row 2
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% Row 3
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99387 new & 99397 est & 65+ years \tn 
% Row Count 4 (+ 1)
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% Row 0
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G8510 & screen depression negative \tn 
% Row Count 1 (+ 1)
% Row 1
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88142 & cytopathology, thin prep. \tn 
% Row Count 2 (+ 1)
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% Row 0
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Z12.4 & cervical cancer screening \tn 
% Row Count 1 (+ 1)
% Row 1
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\seqsplit{Z12.31} & breast cancer screening \tn 
% Row Count 2 (+ 1)
% Row 2
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\seqsplit{Z13.820} & osteoporosis screening \tn 
% Row Count 4 (+ 2)
% Row 3
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\seqsplit{Z13.89} & depression screening negative \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Z11.3 & STD screening \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\seqsplit{Z30.431} & intrauterine device surveillance \tn 
% Row Count 8 (+ 2)
% Row 6
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\seqsplit{Z30.41} & OCP surveillance \tn 
% Row Count 9 (+ 1)
% Row 7
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\seqsplit{Z13.89} & irregular bleeding \tn 
% Row Count 10 (+ 1)
% Row 8
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L30.4 & intertriginous dermatitis associated with moisture \tn 
% Row Count 12 (+ 2)
% Row 9
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N89.8 & vaginal irritation \tn 
% Row Count 13 (+ 1)
% Row 10
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R32 & urinary incontinence \tn 
% Row Count 14 (+ 1)
% Row 11
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N89.9 & noninflammatory disorder of vagina, unspesified \tn 
% Row Count 16 (+ 2)
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% Row 0
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G0101 & cervical or vaginal cancer screening, pelvic and breast exam \tn 
% Row Count 2 (+ 2)
% Row 1
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Q0091 & collection of Pap Smear \tn 
% Row Count 4 (+ 2)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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% Row Count 2 (+ 2)
% Row 1
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% Row 2
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% Row 3
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% Row 4
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% Row Count 10 (+ 2)
% Row 5
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% Row 6
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% Row Count 14 (+ 2)
% Row 7
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% Row Count 16 (+ 2)
% Row 8
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\mymulticolumn{1}{x{5.377cm}}{Z34.90*	 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester} \tn 
% Row Count 18 (+ 2)
% Row 9
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% Row Count 20 (+ 2)
% Row 10
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% Row Count 22 (+ 2)
% Row 11
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% Row Count 24 (+ 2)
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\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{E66.09 Obesity}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{General: obese} \tn 
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% Row 1
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% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Anus/ perineum: exam limited by body habitus} \tn 
% Row Count 3 (+ 1)
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\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}