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Minimum Documentation Checklist Confirmed Type 2 diabetes diagnosis: Active problem list entry or explicit mention in the encounter note Neuropathy established by provider: Direct statement linking neuropathy to diabetes (not just patient-reported symptoms) No subtype specified: No mention of mononeuropathy, polyneuropathy, autonomic neuropathy, or amyotrophy anywhere in the encounter documentation Causal attribution documented: Due to diabetes, diabetic neuropathy, or equivalent clinical language present Maintaining structured patient records that capture complication types at each encounter reduces the documentation gaps that force coders to default to E11.40

10.1053/j.gastro.2015.11.015 18 BrownE.HydesT.HamidA.CuthbertsonD

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