Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
ICD-10 E09.339 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema.
E09.339 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by moderate nonproliferative diabetic retinopathy without macular edema. This condition arises when certain medications or substances disrupt normal glucose metabolism, leading to elevated blood glucose levels. Nonproliferative diabetic retinopathy is a common complication of diabetes, where damage occurs to the blood vessels in the retina, but in this case, it is classified as moderate, indicating a specific level of severity. The absence of macular edema suggests that while there is retinal damage, the central part of the retina is not swollen, which can lead to vision impairment. Management of this condition often involves controlling blood glucose levels through lifestyle changes, oral hypoglycemic agents, or insulin therapy, depending on the severity of the diabetes. Regular monitoring of HbA1c levels is crucial to assess long-term glucose control and to prevent further complications associated with diabetes, including worsening retinopathy.
Detailed medication history, HbA1c levels, and retinopathy assessments.
Patients presenting with new-onset diabetes after starting specific medications.
Ensure clear documentation of the drug responsible for inducing diabetes.
Retinal examination findings, including the degree of retinopathy.
Patients with diabetes presenting for routine eye exams showing signs of retinopathy.
Document the absence of macular edema and the specific type of retinopathy.
Used for follow-up visits for diabetes management.
Document the patient's diabetes management plan and any changes in medication.
Endocrinologists should ensure comprehensive documentation of diabetes control.
Medications such as corticosteroids, certain antipsychotics, and some antiretrovirals are known to induce diabetes mellitus by affecting insulin secretion or action.
