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1. 45-year-old patient admitted with Insulin dependent diabetes. The type of diabetes is not 
specified in the medical record. How should this be coded? 
a. E11.9, Z79.4 
b. E11.8 
c. E11.8, Z79.4 
d. Z79.4, E11.8 - CORRECT ANSWER -a. E11.9, Z79.4 
If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Type 
2 diabetes mellitus. Code Z79.4, Long term (current) use of insulin, should also be assigned for 
patients who take insulin (CMS 2018a, Section I....
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1. 45-year-old patient admitted with Insulin dependent diabetes. The type of diabetes is not 
specified in the medical record. How should this be coded? 
a. E11.9, Z79.4 
b. E11.8 
c. E11.8, Z79.4 
d. Z79.4, E11.8 - CORRECT ANSWER -a. E11.9, Z79.4 
If the type of diabetes mellitus is not documented in the medical record the default is E11.-, Type 
2 diabetes mellitus. Code Z79.4, Long term (current) use of insulin, should also be assigned for 
patients who take insulin (CMS 2018a, Section I....
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