Drug or chemical induced diabetes mellitus with diabetic cataract
ICD-10 E09.36 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with diabetic cataract.
Drug or chemical induced diabetes mellitus is a form of diabetes that arises due to the administration of certain medications or exposure to chemicals that affect insulin secretion or action. This condition can lead to various complications, including diabetic cataracts, which are characterized by clouding of the lens in the eye, resulting in vision impairment. The development of diabetic cataracts is often associated with prolonged hyperglycemia and can be exacerbated by the use of corticosteroids and other drugs that influence glucose metabolism. Management of this condition typically involves monitoring blood glucose levels, maintaining HbA1c levels below 7% to prevent complications, and addressing any ocular issues that arise. Insulin therapy may be necessary for some patients, particularly if oral hypoglycemic agents are ineffective. Regular eye examinations are crucial for early detection and management of diabetic cataracts, as timely intervention can prevent significant vision loss.
Detailed medication history, HbA1c levels, and management plans
Patients presenting with new-onset diabetes after starting corticosteroids or other medications
Ensure clear documentation of the causal relationship between medication and diabetes onset
Visual acuity tests, cataract assessment, and treatment plans
Patients with diabetes presenting for routine eye exams or cataract surgery
Document the impact of diabetes on ocular health and any surgical interventions
Used when a patient with drug-induced diabetes presents for an eye exam due to cataracts.
Document the patient's diabetes status and any related complications.
Ophthalmologists should note the patient's medication history.
Common medications that can induce diabetes include corticosteroids, certain antipsychotics, and some antihypertensive drugs. It's important to review the patient's medication history to identify potential causes.
