Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema (right eye)
ICD-10 E09.3591 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema (right eye).
E09.3591 refers to diabetes mellitus that has been induced by drugs or chemicals, leading to complications such as proliferative diabetic retinopathy (PDR) in the right eye without associated macular edema. This condition arises when certain medications or toxic substances disrupt normal glucose metabolism, resulting in hyperglycemia and subsequent diabetic complications. Proliferative diabetic retinopathy is characterized by the growth of new blood vessels in the retina, which can lead to vision loss if not managed appropriately. The absence of macular edema indicates that while there is significant retinal damage, the central vision area remains unaffected. Management of this condition typically involves controlling blood glucose levels, monitoring HbA1c levels, and potentially utilizing insulin therapy or other antidiabetic medications. Regular ophthalmologic evaluations are crucial to assess the progression of retinopathy and to implement timely interventions.
Detailed medication history, HbA1c levels, and diabetes management plan.
Patients presenting with new-onset diabetes due to medication, requiring insulin management.
Ensure clear documentation of the drug responsible for diabetes and its management.
Comprehensive eye examination results, including retinal imaging and assessment of diabetic retinopathy.
Patients with diabetes presenting for routine eye exams or with vision changes.
Document the presence or absence of macular edema and the severity of retinopathy.
Used for routine eye exams in patients with diabetes.
Document visual acuity, retinal examination findings, and any treatment plans.
Ophthalmologists should ensure thorough documentation of diabetic retinopathy findings.
Certain medications, including corticosteroids, antipsychotics, and some antihypertensives, can induce diabetes by affecting insulin secretion or action.
