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ICD-10 Guide
ICD-10 CodesE09.628

E09.628

Billable

Drug or chemical induced diabetes mellitus with other skin complications

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E09.628 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with other skin complications.

Key Diagnostic Point:

Drug or chemical induced diabetes mellitus (E09) refers to diabetes that arises as a result of pharmacological agents or chemicals, often seen in patients undergoing treatment for other conditions. This specific code, E09.628, indicates the presence of additional skin complications associated with this form of diabetes. Skin complications can include infections, ulcers, and other dermatological issues that arise due to the altered metabolic state and impaired healing associated with diabetes. Patients may present with elevated HbA1c levels, indicating poor glycemic control, which can exacerbate skin conditions. Management often involves careful monitoring of blood glucose levels, insulin therapy, and addressing the skin complications through appropriate dermatological care. Understanding the interplay between the drug-induced diabetes and its complications is crucial for effective treatment and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between drug-induced diabetes and other types of diabetes.
  • Identifying specific skin complications related to diabetes.
  • Understanding the patient's medication history and its impact on diabetes management.
  • Documenting the severity and type of skin complications accurately.

Audit Risk Factors

  • Inadequate documentation of the drug or chemical causing diabetes.
  • Failure to document the specific skin complications.
  • Misclassification of diabetes type.
  • Lack of clear treatment plans for both diabetes and skin conditions.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and treatment plans.

Common Clinical Scenarios

Patients with a history of cancer receiving chemotherapy that induces diabetes.

Billing Considerations

Ensure clear documentation of the relationship between the drug and diabetes onset.

Dermatology

Documentation Requirements

Description of skin lesions, treatment provided, and response to treatment.

Common Clinical Scenarios

Patients presenting with diabetic ulcers or infections secondary to drug-induced diabetes.

Billing Considerations

Document the impact of diabetes on skin healing and management strategies.

Coding Guidelines

Inclusion Criteria

Use E09.628 When
  • Follow ICD
  • CM guidelines for coding diabetes mellitus, ensuring to document the cause (drug or chemical) and any associated complications
  • Include HbA1c levels and treatment plans in the documentation

Exclusion Criteria

Do NOT use E09.628 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for diabetes management.

Documentation Requirements

Document patient's diabetes management plan and any skin complications.

Specialty Considerations

Endocrinologists should focus on medication adjustments and monitoring.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of patient records and treatment plans. It emphasizes the need for detailed documentation of causative factors and complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of patient records and treatment plans. It emphasizes the need for detailed documentation of causative factors and complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of patient records and treatment plans. It emphasizes the need for detailed documentation of causative factors and complications.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What types of drugs can induce diabetes?

Common drugs include corticosteroids, certain antipsychotics, and some chemotherapy agents. These can affect insulin sensitivity or secretion.