Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
ICD-10 E09.353 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula.
E09.353 refers to a specific type of diabetes mellitus that is induced by drugs or chemicals, leading to significant complications such as proliferative diabetic retinopathy (PDR) and traction retinal detachment. Proliferative diabetic retinopathy is characterized by the growth of new blood vessels in the retina, which can lead to vision loss. In this case, the traction retinal detachment does not involve the macula, which is crucial for central vision. The condition often arises in patients who have been exposed to certain medications or chemicals that disrupt normal glucose metabolism, leading to hyperglycemia and subsequent diabetic complications. Management of this condition typically involves controlling blood glucose levels, monitoring HbA1c levels, and addressing the ocular complications through appropriate interventions. The complexity of this diagnosis lies in the multifactorial nature of diabetes management and the need for careful documentation of the drug or chemical exposure, as well as the specific retinal complications present.
Thorough documentation of diabetes management, including medication history and HbA1c levels.
Patients presenting with uncontrolled diabetes due to medication side effects.
Ensure clear documentation of the drug or chemical responsible for diabetes.
Detailed retinal examination findings, including descriptions of proliferative changes and detachment.
Patients with diabetic retinopathy requiring surgical intervention.
Document the specific type of retinal detachment and its implications for vision.
Used for treatment of proliferative diabetic retinopathy.
Document the extent of retinopathy and treatment rationale.
Ophthalmology should ensure accurate coding based on the type of retinopathy.
Medications such as corticosteroids, certain antipsychotics, and some immunosuppressants can induce diabetes mellitus by affecting insulin secretion or action.
