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When a diabetic patient has CKD, the coder should assign E11.22 (T2DM with CKD) and N18.x without waiting for the provider to write “CKD caused by diabetes.” The exception: if the provider explicitly states the conditions are unrelated, follow that documentation

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The essential element in code selection is the type of diabetes — not whether the patient uses insulin per ICD-10-CM coding guidance (AAPC)