Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema (right eye)
ICD-10 E09.3311 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema (right eye).
E09.3311 refers to diabetes mellitus that has been induced by drugs or chemicals, characterized by the presence of moderate nonproliferative diabetic retinopathy with macular edema specifically affecting the right eye. This condition arises when certain medications, such as corticosteroids or antipsychotics, lead to glucose intolerance or insulin resistance, resulting in diabetes. The moderate nonproliferative diabetic retinopathy indicates changes in the retina due to prolonged hyperglycemia, including microaneurysms and retinal hemorrhages, while macular edema signifies fluid accumulation in the macula, leading to vision impairment. Management of this condition typically involves controlling blood glucose levels, monitoring HbA1c levels, and addressing the ocular complications through appropriate ophthalmologic interventions. Regular follow-ups are essential to prevent progression and manage both diabetes and its ocular manifestations effectively.
Comprehensive medication history, HbA1c levels, and diabetes management plans.
Patients presenting with new-onset diabetes after starting corticosteroids or antipsychotics.
Ensure documentation reflects the relationship between medication use and diabetes onset.
Detailed retinal examination findings, imaging results, and treatment plans for macular edema.
Patients with diabetes presenting for routine eye exams or with vision changes.
Document the severity of retinopathy and any interventions performed.
Used during routine eye exams for diabetic retinopathy assessment.
Document visual acuity, fundoscopic findings, and any treatment plans.
Ophthalmologists should ensure detailed documentation of retinal findings.
Common medications that can induce diabetes include corticosteroids, thiazide diuretics, and certain antipsychotics. These drugs can lead to insulin resistance or impaired insulin secretion.
Diabetic retinopathy is diagnosed through a comprehensive eye examination, including fundoscopic examination and imaging techniques such as optical coherence tomography (OCT) to assess retinal changes.
