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E11.65 is the correct code. This code combines the T2 DM and the hyperglycemia, so there is no need to put two codes to document this condition. For metabolic complications, we only code diabetes code with no additional manifestations codes. Official coding guidelines state that DM codes are combination codes that identify the type, system affected, and complications associated. As many codes from categories E08 – E13 may be used to fully document the patient case. The code Z79.4 should be noted if the patient is documented to have been a long term user of insulin. The E11 category is used to represent “Type 2” DM, as opposed to “Type 1”. Case scenario: A 28 year old male with AIDS comes to the clinic and reports excessive thirst and severe fatigue. He has also been losing weight abnormally and experiencing periods of blurred vision. The patient has a history of using nicotine but is in remission. After study, the patient was found to have Type 2 Diabetes Mellitus with hyperglycemia. I want some kind comments for these classmate sentences
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