Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (unspecified eye)
ICD-10 E09.3399 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (unspecified eye).
E09.3399 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by moderate nonproliferative diabetic retinopathy without macular edema in an unspecified eye. This condition arises when certain medications or substances lead to an increase in blood glucose levels, resulting in diabetes. The presence of moderate nonproliferative diabetic retinopathy indicates that there are changes in the retinal blood vessels, but these changes have not progressed to the more severe proliferative stage. Patients may experience symptoms such as blurred vision or difficulty seeing at night. Management of this condition typically involves controlling blood glucose levels through lifestyle modifications, monitoring HbA1c levels, and potentially using insulin or other antidiabetic medications. Regular eye examinations are crucial to monitor the progression of retinopathy and to prevent further complications.
Detailed medication history, HbA1c levels, and retinopathy assessments.
Patients presenting with new-onset diabetes after starting a specific medication.
Endocrinologists must ensure that the drug-induced nature of the diabetes is clearly documented.
Retinal examination findings, including details on the severity of retinopathy.
Patients with diabetes presenting for routine eye exams showing signs of retinopathy.
Ophthalmologists should document the absence of macular edema to support the coding.
Used for follow-up visits for diabetes management.
Document patient's diabetes management plan and any changes in medication.
Endocrinologists should ensure that the visit details reflect the complexity of managing drug-induced diabetes.
Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, and some antihypertensive medications. It is important to review the patient's medication history to identify potential causes.
