But there are a few things you should consider before doing it
This code is useful, but should be used conservatively to avoid over-generalization E11.9 is used when: No complications are documented Provider notes controlled, stable, or well-managed diabetes The visit is for routine follow-up or medication review There is no evidence of end-organ involvement Additional ICD-10 Codes That May Be Required Even in uncomplicated diabetes, the following may apply: Z79.4 Long-term insulin use Z79.84 Long-term use of oral hypoglycemic agents Z71.3 Dietary management counseling (if applicable) Correctly distinguishing between these two codes ensures accurate coding and aligns with provider intent
Elbere et al., 2018
Weight management (off-label): Some people may notice weight reduction while treating diabetes, but Rybelsus is not approved for weight loss
None of the above is a substitute for evaluation by a licensed clinician
(Gross spending does not account for any rebates paid by drug manufacturers to pharmacy benefit managers, which would result in lower net Medicare spending.) Gross spending on Ozempic alone increased from $2.6 billion in 2021 to $4.6 billion in 2022, pushing it to 6th place among the top-selling drugs in Medicare Part D that year, up from 10th place the year before
