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ICD-10 Guide
ICD-10 CodesE09.37

E09.37

Billable

Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment

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

Code Description

ICD-10 E09.37 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment.

Key Diagnostic Point:

E09.37 refers to diabetes mellitus that has been induced by drugs or chemicals, which is characterized by the presence of diabetic macular edema. This condition arises when certain medications or substances lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels. Diabetic macular edema is a complication of diabetes that affects the retina, leading to vision impairment. In this specific case, the edema has resolved following appropriate treatment, indicating that the underlying diabetes has been managed effectively. Management may include discontinuation of the offending agent, lifestyle modifications, and pharmacological interventions such as insulin therapy or oral hypoglycemics. Monitoring of HbA1c levels is crucial to assess long-term glycemic control and to prevent further complications. The resolution of diabetic macular edema is typically confirmed through ophthalmologic evaluation, emphasizing the importance of interdisciplinary collaboration in managing this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of drug or chemical responsible for diabetes induction
  • Documentation of resolution of diabetic macular edema
  • Differentiation from other types of diabetes mellitus
  • Need for interdisciplinary documentation (endocrinology and ophthalmology)

Audit Risk Factors

  • Inadequate documentation of drug history
  • Failure to document resolution of diabetic macular edema
  • Incorrect coding of diabetes type
  • Lack of interdisciplinary notes from ophthalmology

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and treatment plans.

Common Clinical Scenarios

Management of drug-induced diabetes, monitoring of blood glucose levels.

Billing Considerations

Ensure clear documentation of the drug responsible for diabetes induction.

Ophthalmology

Documentation Requirements

Ophthalmologic evaluations, imaging results, and treatment outcomes.

Common Clinical Scenarios

Assessment and treatment of diabetic macular edema.

Billing Considerations

Document resolution of edema and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use E09.37 When
  • Follow ICD
  • CM guidelines for coding diabetes mellitus, ensuring to document the specific drug or chemical causing the condition
  • Include details on the resolution of complications and any ongoing management plans

Exclusion Criteria

Do NOT use E09.37 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used when a patient with drug-induced diabetes is evaluated for diabetic macular edema.

Documentation Requirements

Document the reason for the examination and findings related to diabetic macular edema.

Specialty Considerations

Ophthalmologists should ensure clear linkage to diabetes management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of drug-induced diabetes, improving the accuracy of patient records and facilitating better management of complications like diabetic macular edema.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of drug-induced diabetes, improving the accuracy of patient records and facilitating better management of complications like diabetic macular edema.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of drug-induced diabetes, improving the accuracy of patient records and facilitating better management of complications like diabetic macular edema.

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?

Common drugs that can induce diabetes include glucocorticoids, certain antipsychotics, and some medications used in the treatment of HIV. These drugs can cause insulin resistance or impair insulin secretion, leading to elevated blood glucose levels.