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3 If documentation only says diabetes (without type), default to Type 2 (E11.-) Complication Coding Examples Diabetes with nephropathy E11.21 Diabetes with CKD E11.22 + N18.- (CKD stage) Diabetes with retinopathy E11.3- (specify stage) Diabetes with neuropathy E11.40E11.49 Hyperglycemia / Hypoglycemia With hyperglycemia .65 (e.g., E11.65 = Type 2 DM with hyperglycemia) With hypoglycemia .64 (specify with or without coma) Secondary Diabetes Due to another condition (e.g., pancreatitis): Code the underlying condition first + E08.- Drug/chemical-induced: Code first T36T50 (drug/adverse effect) + E09.- Insulin & Medication Use (Z Codes) Z79.4 Long-term use of insulin Z79.84 Long-term use of oral hypoglycemics Z79.85 Long-term use of injectable non-insulin drugs Dont assign Z79.4 if insulin is only given temporarily (e.g., in hospital)

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