Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema (unspecified eye)
ICD-10 E09.3519 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema (unspecified eye).
E09.3519 refers to diabetes mellitus that has been induced by drugs or chemicals, leading to significant complications such as proliferative diabetic retinopathy and macular edema in an unspecified eye. This condition arises when certain medications, such as glucocorticoids or antipsychotics, disrupt normal glucose metabolism, resulting in hyperglycemia and subsequent diabetes. Proliferative diabetic retinopathy is characterized by the growth of new blood vessels in the retina, which can lead to vision loss. Macular edema, a common complication, occurs when fluid accumulates in the macula, the central part of the retina responsible for sharp vision. Management of this condition often involves monitoring HbA1c levels to assess long-term glucose control, typically aiming for levels below 7% to minimize complications. Insulin therapy may be required to manage blood glucose levels effectively, especially in cases where oral hypoglycemics are insufficient. Regular ophthalmologic evaluations are crucial for early detection and treatment of retinal complications.
Thorough documentation of medication history, HbA1c levels, and treatment plans.
Patients presenting with new-onset diabetes after starting corticosteroids.
Ensure clear documentation of the relationship between drug use and diabetes onset.
Detailed retinal examination findings, including descriptions of proliferative changes and edema.
Patients with diabetes presenting for routine eye exams showing signs of retinopathy.
Document the specific type of retinopathy and any treatment provided.
Used during routine eye exams for diabetic patients.
Document visual acuity, retinal findings, and any treatments provided.
Ophthalmologists should ensure detailed notes on retinopathy findings.
Certain medications, including glucocorticoids, antipsychotics, and some antihypertensives, can induce diabetes by affecting insulin secretion or action.
