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ICD-10 Guide
ICD-10 CodesE09.3392

E09.3392

Billable

Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (left eye)

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

Code Description

ICD-10 E09.3392 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (left eye).

Key Diagnostic Point:

E09.3392 refers to diabetes mellitus that is induced by drugs or chemicals, specifically characterized by moderate nonproliferative diabetic retinopathy in the left eye without macular edema. This condition arises when certain medications or substances lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels. The presence of moderate nonproliferative diabetic retinopathy indicates that there are changes in the retinal blood vessels, which can lead to vision impairment if not managed properly. The absence of macular edema suggests that the central part of the retina is not swollen, which is a more severe complication. Management of this condition typically involves controlling blood glucose levels through lifestyle modifications, monitoring HbA1c levels, and possibly insulin therapy, depending on the severity of the diabetes. Regular eye examinations are crucial to monitor the progression of retinopathy and to prevent further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of drug or chemical causing diabetes must be documented.
  • Differentiation between types of diabetic retinopathy is required.
  • Need for accurate documentation of eye involvement (left eye).
  • Management plans must be clearly outlined to support coding.

Audit Risk Factors

  • Inadequate documentation of the drug or chemical causing diabetes.
  • Failure to document the severity of retinopathy.
  • Lack of regular monitoring of HbA1c levels.
  • Insufficient detail in treatment plans.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed history of diabetes management, including medications and HbA1c levels.

Common Clinical Scenarios

Patients with drug-induced diabetes requiring insulin therapy.

Billing Considerations

Ensure clear documentation of the drug responsible for diabetes.

Ophthalmology

Documentation Requirements

Comprehensive eye examination reports detailing retinopathy findings.

Common Clinical Scenarios

Patients presenting with vision changes due to diabetic retinopathy.

Billing Considerations

Document the absence of macular edema and specify eye involvement.

Coding Guidelines

Inclusion Criteria

Use E09.3392 When
  • According to ICD
  • 10 guidelines, E09
  • 3392 should be used when diabetes is specifically induced by drugs or chemicals, and it is essential to document the type of retinopathy and the absence of macular edema
  • The code should not be used if the diabetes is due to other causes

Exclusion Criteria

Do NOT use E09.3392 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used during routine eye exams for diabetic retinopathy.

Documentation Requirements

Document findings of retinopathy and any treatment plans.

Specialty Considerations

Ophthalmologists should ensure detailed documentation of eye health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes-related conditions, enabling better tracking of drug-induced cases and their complications. This specificity aids in research and improves patient care by highlighting the need for careful monitoring of patients on certain medications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes-related conditions, enabling better tracking of drug-induced cases and their complications. This specificity aids in research and improves patient care by highlighting the need for careful monitoring of patients on certain medications.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What medications can cause drug-induced diabetes?

Medications such as corticosteroids, certain antipsychotics, and some antiretrovirals are known to induce diabetes by affecting insulin sensitivity or secretion.