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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)

As part of its ongoing review, the European Medicines Agency this week is slated to examine the potential risks of suicidal ideation and self-harm associated with diabetes and weight-loss treatments.

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Future looks bright, healthy & lean!