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Pain is typically mild to moderate, dose-dependent, and tends to diminish with continued use Priapism prolonged erection lasting more than 4-6 hours occurs in approximately 1-3% of patients

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E11.42 (polyneuropathy) E11.3212 (moderate NPDR, left eye, no macular edema) E11.12 (diabetic CKD stage 3) N18.3 (CKD stage 3, required companion) Z79.4 (long-term insulin, only Z79.4 needed when on both insulin and oral agents per official guidelines) Note: Z79.84 is NOT added here because per ICD-10-CM Official Guidelines, when a patient uses both insulin and oral hypoglycemics, only Z79.4 is assigned

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