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The abbreviation or punctuation indicating that a more specific icd-9 or icd-10 code cannot be identified is '- -'.

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Final answer:

The abbreviation or punctuation indicating that a more specific icd-9 or icd-10 code cannot be identified is '- -'.

Step-by-step explanation:

The abbreviation or punctuation that denotes a more specific icd-9 or icd-10 code cannot be identified is '- -'. This punctuation is used when there is insufficient information or when a more specific code does not exist.

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