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Z79.4 and Type 2 Diabetes (E11.-): A Mandatory Pairing The ICD-10-CM Official Guidelines for Coding and Reporting (FY 2026), issued by CMS and NCHS, are explicit: when a patients diabetes is classified under E11.- (Type 2 diabetes mellitus) and that patient is on long-term insulin, the coder must assign ICD-10 Code Z79.4 as an additional code