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Additional E11 codes may be appropriate depending on the patient clinical picture: E11.21 - Type 2 diabetes mellitus with diabetic nephropathy E11.36 - Type 2 diabetes mellitus with diabetic cataract E11.40 - Type 2 diabetes mellitus with diabetic neuropathy, unspecified E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene Listing all applicable diabetes complication codes strengthens the medical necessity case and helps justify tirzepatide over less expensive alternatives
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Rotate Injection Sites (If Using Sub-Q/IM): To minimize discomfort or tissue irritation, switch between different sites (e.g., thighs, abdomen, upper arms)
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Some energy fluctuation is normal on GLP-1 medications
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