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Cancer Medications : If the patient is undergoing or has gone through cancer treatments like chemotherapy, radiotherapy, or other hormonal medications, the effect of this treatment can diminish the chance of pregnancy

However, the urge to move the limbs is reported by most, if not all, people with RLS

Additional E11 codes may be appropriate depending on the patient clinical picture: E11.21 - Type 2 diabetes mellitus with diabetic nephropathy E11.36 - Type 2 diabetes mellitus with diabetic cataract E11.40 - Type 2 diabetes mellitus with diabetic neuropathy, unspecified E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene Listing all applicable diabetes complication codes strengthens the medical necessity case and helps justify tirzepatide over less expensive alternatives