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ICD-10 Guide
ICD-10 CodesE09.3529

E09.3529

Billable

Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula (unspecified eye)

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

Code Description

ICD-10 E09.3529 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula (unspecified eye).

Key Diagnostic Point:

E09.3529 refers to diabetes mellitus that is induced by drugs or chemicals, leading to significant complications such as proliferative diabetic retinopathy and traction retinal detachment affecting the macula of an unspecified eye. This condition arises when certain medications or toxic substances 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. The presence of traction retinal detachment indicates that these abnormal vessels are pulling on the retina, potentially causing severe visual impairment. Management of this condition requires careful monitoring of blood glucose levels, often through HbA1c testing, to assess long-term glucose control. Insulin therapy may be necessary to manage blood sugar levels effectively, especially in cases where oral hypoglycemics are insufficient. Regular ophthalmologic evaluations are crucial to monitor for retinal complications and to initiate timely interventions to preserve vision.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of drug-induced diabetes mechanisms
  • Involves multiple complications that need to be documented
  • Specificity in identifying the eye affected is crucial
  • Need for comprehensive patient history regarding drug exposure

Audit Risk Factors

  • Inadequate documentation of drug exposure
  • Failure to specify the affected eye
  • Lack of detailed clinical notes on retinopathy severity
  • Insufficient follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and treatment plans.

Common Clinical Scenarios

Management of patients with drug-induced diabetes and monitoring for complications.

Billing Considerations

Ensure accurate documentation of the type of diabetes and its management.

Ophthalmology

Documentation Requirements

Visual acuity tests, retinal imaging results, and treatment plans for retinopathy.

Common Clinical Scenarios

Evaluation and treatment of diabetic retinopathy and retinal detachment.

Billing Considerations

Document the specific type of retinal detachment and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use E09.3529 When
  • Follow the official ICD
  • CM coding guidelines for diabetes mellitus, ensuring to document the cause (drug or chemical) and the specific complications
  • Include any relevant lab results, such as HbA1c levels, and specify the eye affected

Exclusion Criteria

Do NOT use E09.3529 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used for routine follow-up of diabetic retinopathy.

Documentation Requirements

Document visual acuity, retinal findings, and treatment plans.

Specialty Considerations

Ensure that the examination includes assessment of diabetic changes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes and its complications, improving the accuracy of patient records and facilitating better management of these complex cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes and its complications, improving the accuracy of patient records and facilitating better management of these complex cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes and its complications, improving the accuracy of patient records and facilitating better management of these complex cases.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of drugs can induce diabetes mellitus?

Several classes of medications, including corticosteroids, antipsychotics, and certain antihypertensives, can induce diabetes by affecting insulin secretion or action.