Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
ICD-10 E09.40 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified.
E09.40 refers to diabetes mellitus that is induced by drugs or chemicals, leading to neurological complications, specifically diabetic neuropathy that is unspecified. This condition arises when certain medications or toxic substances disrupt normal glucose metabolism, resulting in elevated blood glucose levels. The neurological complications associated with this form of diabetes can manifest as peripheral neuropathy, characterized by symptoms such as numbness, tingling, and pain in the extremities. The management of drug-induced diabetes often requires careful monitoring of blood glucose levels, with an emphasis on maintaining HbA1c levels within target ranges to prevent further complications. Treatment may involve insulin therapy or other antidiabetic medications, depending on the severity of the condition and the patient's overall health status. It is crucial for healthcare providers to identify the offending agent and consider alternative therapies to mitigate the risk of further complications.
Detailed medication history, HbA1c levels, and neurological assessments.
Patients presenting with new-onset diabetes after starting a new medication.
Endocrinologists must ensure that the cause of diabetes is clearly documented to support the use of E09.40.
Neurological examination findings, patient history regarding diabetes management.
Patients with diabetic neuropathy symptoms who have a history of drug-induced diabetes.
Neurologists should document the relationship between diabetes and neurological symptoms to justify the coding.
Used for follow-up visits to manage diabetes and assess complications.
Document the patient's diabetes management plan and any changes in medication.
Endocrinologists should ensure comprehensive documentation of diabetes control and complications.
Several classes of medications can induce diabetes, including corticosteroids, antipsychotics, and certain antihypertensives. It is essential to review the patient's medication history to identify potential causes.
