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Examples Type 2 diabetes on long-term insulin therapy E11.x + Z79.4 Use Z79.84 when documentation shows that the patient is taking ongoing oral diabetes medications , such as: Metformin Sulfonylureas DPP-4 inhibitors SGLT2 inhibitors Thiazolidinediones GLP-1 receptor agonists (if oral formulation) When to Use Z79.84 Z79.84 applies when: The patient uses oral medication as part of long-term management Medication refills, adjustments, or follow-ups are documented The provider indicates continued pharmacologic therapy Example T2DM managed with metformin E11.x + Z79.84 When a patient uses both insulin and oral medications , assign both codes: Z79.4 Long-term insulin Z79.84 Long-term oral medications Example Type 2 diabetes treated with metformin and long-term insulin E11.x + Z79.4 + Z79.84 Although type 1 patients rely on insulin, Z79.4 is not assigned with Type 1 diabetes