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Acknowledgements The authors would like to express their gratitude to Margreet Osinga (Gelderse Vallei Hospital, Ede, the Netherlands), Annelies Botman (Spaarne Gasthuis, Haarlem, the Netherlands), Fellery de Lange (Medical Center Leeuwarden, Leeuwarden, the Netherlands), Jantine van Holten (Ikazia Hospital, Rotterdam, the Netherlands), Jankees K.H

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The following represents key Coding Clinic positions relevant to diabetes mellitus as of the most recent published guidance (4Q 2023 through 2025): Long-Term Insulin Use with Type 2 Diabetes Coding Clinic has consistently affirmed that when a Type 2 diabetic patient uses long-term insulin, coders must assign Z79.4 (long-term current use of insulin) as an additional code

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