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doi: 10.1001/jama.2016.0287 2

Atorvastatin 40 mg 1 po qdLabs- HgbA1c 8.0, Creatinine 1.8, eGFR 46 (1 week prior to visit)Plan:DM type 2 - continue meds, Refill 10 mL Lantus, 30 U SQ qdCKD stage 3a follow with nephrology/repeat eGFRPeripheral neuropathy schedule nerve conduction study with neurologyObesity discontinue alcohol, follow diet plan providedCoded as:E11.22 - Diabetes mellitus type 2 with diabetic chronic kidney diseaseN18.31 Chronic kidney disease stage 3a E11.42 - Diabetes mellitus type 2 with diabetic polyneuropathyE66.9 ObeseZ68.34 BMI 34.3*The sole purpose of the examples is to demonstrate the application of coding guidelines discussed in the materials

Severe kidney or liver disease