Drug or chemical induced diabetes mellitus with diabetic nephropathy
ICD-10 E09.21 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with diabetic nephropathy.
E09.21 refers to diabetes mellitus that is induced by drugs or chemicals, specifically characterized by the presence of diabetic nephropathy. This condition arises when certain medications, such as glucocorticoids, antipsychotics, or other agents, lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels. Diabetic nephropathy, a serious complication of diabetes, manifests as kidney damage due to prolonged hyperglycemia, leading to proteinuria and declining renal function. Patients may present with symptoms such as increased thirst, frequent urination, fatigue, and blurred vision. Management of E09.21 involves controlling blood glucose levels, monitoring renal function, and potentially adjusting or discontinuing the offending medication. Regular assessments of HbA1c levels are crucial to evaluate long-term glycemic control, with target levels typically below 7% for most adults. Insulin therapy may be necessary for some patients, particularly if oral hypoglycemics are ineffective. Close monitoring for other diabetic complications, including retinopathy and neuropathy, is also essential.
Detailed medication history, HbA1c levels, and renal function tests.
Patients presenting with new-onset diabetes after starting a new medication.
Ensure clear documentation of the relationship between the drug and diabetes onset.
Assessment of kidney function, proteinuria levels, and diabetes management plans.
Patients with diabetes and worsening renal function.
Document the stage of nephropathy and any interventions taken.
Used for follow-up visits for diabetes management.
Document patient's diabetes management plan and any changes in medication.
Endocrinologists should ensure comprehensive diabetes management documentation.
Common medications that can induce diabetes include glucocorticoids, certain antipsychotics, and thiazide diuretics. It is important to review the patient's medication history to identify potential causes.
