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ICD-10 Guide
ICD-10 CodesE09.3

E09.3

Billable

Drug or chemical induced diabetes mellitus with ophthalmic complications

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

Code Description

ICD-10 E09.3 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with ophthalmic complications.

Key Diagnostic Point:

Drug or chemical induced diabetes mellitus is a form of diabetes that arises as a result of the use of certain medications or chemicals that affect insulin secretion or action. This condition can lead to various complications, including ophthalmic issues such as diabetic retinopathy, cataracts, and other vision-related problems. The onset of diabetes in these cases is typically reversible upon discontinuation of the offending agent, but the ophthalmic complications may persist or worsen if not managed appropriately. Patients may present with elevated HbA1c levels, indicating poor glycemic control, and may require insulin management or other antidiabetic medications to stabilize blood glucose levels. Regular ophthalmic examinations are crucial for early detection and management of complications, as timely intervention can prevent significant vision loss.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of the specific drug or chemical causing diabetes
  • Differentiation from other types of diabetes mellitus
  • Documentation of ophthalmic complications
  • Management of diabetes and its complications

Audit Risk Factors

  • Inadequate documentation of the drug or chemical involved
  • Failure to document the presence of ophthalmic complications
  • Incorrect coding of diabetes type
  • Lack of follow-up documentation on HbA1c levels

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and treatment plans.

Common Clinical Scenarios

Patients presenting with new-onset diabetes after starting a new medication.

Billing Considerations

Ensure clear documentation of the drug responsible for diabetes and any changes in management.

Ophthalmology

Documentation Requirements

Comprehensive eye examination findings, including any diabetic retinopathy assessments.

Common Clinical Scenarios

Patients with diabetes presenting for routine eye exams or with vision changes.

Billing Considerations

Document the relationship between diabetes management and ophthalmic outcomes.

Coding Guidelines

Inclusion Criteria

Use E09.3 When
  • Follow ICD
  • CM guidelines for coding diabetes mellitus, ensuring to document the specific drug or chemical causing the condition and any associated complications
  • Include HbA1c levels and treatment plans in the medical record

Exclusion Criteria

Do NOT use E09.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for diabetes management.

Documentation Requirements

Document patient's diabetes status, medication changes, and HbA1c levels.

Specialty Considerations

Endocrinologists should ensure comprehensive management plans are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of drug-induced diabetes, improving data accuracy and facilitating better patient management through detailed documentation of complications.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of drug-induced diabetes, improving data accuracy and facilitating better patient management through detailed documentation of complications.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of drug-induced diabetes, improving data accuracy and facilitating better patient management through detailed documentation of complications.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of drugs can induce diabetes mellitus?

Common drugs include corticosteroids, certain antipsychotics, and some antihypertensive medications. Each can affect insulin sensitivity or secretion, leading to hyperglycemia.