Drug or chemical induced diabetes mellitus with ketoacidosis without coma
ICD-10 E09.10 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with ketoacidosis without coma.
E09.10 refers to diabetes mellitus that is induced by drugs or chemicals, specifically presenting with ketoacidosis but without the presence of coma. This condition can arise from various pharmacological agents, including corticosteroids, antipsychotics, and certain chemotherapy agents. The pathophysiology involves insulin resistance and impaired insulin secretion, leading to elevated blood glucose levels and subsequent ketoacidosis. Patients may present with symptoms such as polyuria, polydipsia, weight loss, and abdominal pain. Management typically includes the administration of insulin to control hyperglycemia and address the ketoacidotic state. Monitoring of blood glucose levels and HbA1c is crucial for assessing long-term glycemic control. Complications can include diabetic ketoacidosis (DKA), which can lead to severe metabolic disturbances if not promptly treated. Understanding the underlying cause of the drug-induced diabetes is essential for effective management and prevention of recurrence.
Detailed medication history, lab results for glucose and ketones, and HbA1c levels.
Patients presenting with hyperglycemia and ketoacidosis after starting new medications.
Ensure clear documentation of the drug responsible for the diabetes and the management plan.
Comprehensive patient history, including medication review and metabolic panel results.
Management of patients with multiple comorbidities presenting with drug-induced diabetes.
Document all contributing factors to diabetes management and any changes in medication.
Used for follow-up visits for management of drug-induced diabetes.
Document the patient's medication history, current symptoms, and lab results.
Endocrinologists may require more detailed documentation of metabolic control.
Common drugs that can induce diabetes include glucocorticoids, thiazide diuretics, and certain antipsychotics. It is essential to review the patient's medication history to identify potential causes.
