"Sometimes a cigar, is just a cigar" - Freud (apocryphal)
But in junction isolated technologies any but the
simplest substrate diode, is some aggregation of
transistors and diodes. Every NPN contains a
substrate PNP as does every lateral PNP.
Anyway, sometimes you just want a diode but
are either not offered one (been there) or want
the superior log-linear range of the E-{C+B}
transdiode.
That diode is operated at the edge of saturation
and current density needs to be kept such that
you don't get internal forward bias of the order
that makes Cjc swing wide (charge storage) as
this is usually poorly modeled and variable.
Diodes that can be made, will have varying
attributes. A "40V" NPN could be configured
E-{C+B} or C-{E+B} or the E could be left
out (but sometimes you do not get to order
ala carte, only use what's offered in the foundry
design libraries, would have no model for a C-B.
The E-B diode would break down at maybe 7-8V
in a vertical NPN while C-B over 40V.
On my first high voltage chip design I meant to
use a C-B diode in an output clamp role, but
ended up with an E-B diode in its place. This
was back when schematics were in pencil and
layout on Calma stations, so there was no real
library discipline and one man's pencil drawn
diode is another man's guess, as to which.
Anyway, at FOK wafer probe I was peering
through the microscope and saw little flashes
of light from the die, and felt stings on my
forehead. Those were the E-B diodes' silicon
being launched out of their dielectric isolation
tubs after turning orange-hot. Something
about tens of watts in square microns of area.