Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
ICD-10 E09.22 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with diabetic chronic kidney disease.
E09.22 refers to diabetes mellitus that is induced by drugs or chemicals, specifically characterized by the presence of chronic kidney disease (CKD) as a complication. This condition arises when certain medications, such as glucocorticoids, antipsychotics, or other agents, disrupt normal glucose metabolism, leading to hyperglycemia and subsequent diabetes. The chronic kidney disease associated with this code indicates that the diabetes has progressed to a stage where kidney function is impaired, often requiring careful management to prevent further renal deterioration. Patients may present with elevated HbA1c levels, indicating poor glycemic control, and may require insulin therapy or other antidiabetic medications. The management of this condition is complex, as it necessitates a multidisciplinary approach to address both the diabetes and the renal implications, including regular monitoring of kidney function and adjustments in medication to mitigate the risk of further complications.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with new-onset diabetes after starting a new medication.
Endocrinologists must ensure that the cause of diabetes is clearly documented to support the use of E09.22.
Assessment of kidney function, stage of CKD, and diabetes management strategies.
Patients with diabetes and worsening renal function requiring dialysis or other interventions.
Nephrologists should document the interplay between diabetes management and renal health.
Used for follow-up visits for diabetes management.
Document the patient's diabetes status, medication changes, and kidney function.
Endocrinologists should ensure comprehensive documentation of diabetes management.
Medications such as glucocorticoids, certain antipsychotics, and some antihypertensives can induce diabetes by affecting insulin secretion or action.
