The Coding Query Assistant

Help me understand the documentation requirements for coding
[SCENARIO TYPE].

Coding system: [ICD-10 / ICD-11 / CPT / SNOMED / LOCAL]
Setting: [DESCRIBE]

For this scenario type, tell me:
1. What clinical documentation elements must be present for the
   code to be supported
2. The specificity required — what distinguishes a specific code
   from an unspecified one
3. Common documentation gaps that cause downcoding or rejection
4. How comorbidities and complications need to be documented to
   count
5. What phrases in a clinical note are ambiguous to a coder
6. A documentation checklist for this scenario type

Important: do not assign specific codes. Code assignment is the
coder's responsibility, and code sets change. I want to understand
what my documentation must contain, not what code to use.