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A prolonged, untreated deficiency can cause nerve damage that may become permanent

Journal of Clinical Medicine, 7 (10), 304

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When a patient with any type of diabetes mellitus has documented neuropathy and both conditions are listed in the medical record, coders must assign the diabetic neuropathy combination code (E08.4xE13.4x) even if the provider does not explicitly state due to diabetes. The provider need not use the exact phrase due to diabetes