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Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services, approved this document on November 20, 2025

The following represents key Coding Clinic positions relevant to diabetes mellitus as of the most recent published guidance (4Q 2023 through 2025): Long-Term Insulin Use with Type 2 Diabetes Coding Clinic has consistently affirmed that when a Type 2 diabetic patient uses long-term insulin, coders must assign Z79.4 (long-term current use of insulin) as an additional code

Injection Technique General subcutaneous technique, following established clinical best-practice guidance [10] [11]