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When a diabetic patient has CKD, the coder should assign E11.22 (T2DM with CKD) and N18.x without waiting for the provider to write CKD caused by diabetes. The exception: if the provider explicitly states the conditions are unrelated, follow that documentation

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Females may become infertile and get mannish features using androgen steroids Israetel recommends that you should never use steroids since the negatives outweigh the positives