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The FY 2024/FY 2025 ICD-10-CM guidelines no longer clearly exclude Z79.4 for E10.x (Type 1 diabetes), so many coders now include it for clarity, especially when the provider notes long-term insulin use

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[DOI] [PMC free article] [PubMed] [Google Scholar] 69.Patel KA, Kettunen J, Laakso M, Stankov A, Laver TW, et al

Both of these conditions mean that the quantity and quality of sleep are already impacted, so its unclear whether the disrupted REM cycle is the cause or result of more vivid dreams but it supports the theory that waking-life issues are reflected in dreams

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