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ICD-10 Guide
ICD-10 CodesE09.41

E09.41

Billable

Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy

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

Code Description

ICD-10 E09.41 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy.

Key Diagnostic Point:

E09.41 refers to diabetes mellitus that is induced by drugs or chemicals, leading to neurological complications, specifically diabetic mononeuropathy. 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 mononeuropathy, which is characterized by damage to a single nerve, often leading to pain, weakness, or sensory loss in the affected area. Common drugs that may induce this condition include corticosteroids, antipsychotics, and certain chemotherapeutic agents. Management of E09.41 involves careful monitoring of blood glucose levels, with an emphasis on maintaining HbA1c levels below 7% to minimize complications. Insulin therapy may be necessary, particularly in cases where oral hypoglycemic agents are ineffective. The presence of diabetic mononeuropathy necessitates a multidisciplinary approach to treatment, including pain management and physical therapy to improve function and quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of drug-induced diabetes mechanisms
  • Understanding of neurological complications and their coding
  • Differentiation from other types of diabetes
  • Need for precise documentation of drug history

Audit Risk Factors

  • Inadequate documentation of drug history
  • Failure to document neurological symptoms
  • Incorrect coding of complications
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and treatment plans.

Common Clinical Scenarios

Management of patients with drug-induced diabetes and monitoring for complications.

Billing Considerations

Ensure clear documentation of the drug responsible for diabetes and any neurological assessments.

Neurology

Documentation Requirements

Neurological assessments, symptom descriptions, and treatment responses.

Common Clinical Scenarios

Evaluation of patients presenting with mononeuropathy symptoms related to diabetes.

Billing Considerations

Document the relationship between diabetes and neurological symptoms clearly.

Coding Guidelines

Inclusion Criteria

Use E09.41 When
  • According to ICD
  • 10 coding guidelines, E09
  • 41 should be used when diabetes is specifically induced by drugs or chemicals, and there is documentation of neurological complications
  • It is essential to ensure that the drug responsible is clearly identified in the medical record

Exclusion Criteria

Do NOT use E09.41 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for diabetes management.

Documentation Requirements

Document patient's diabetes management plan and any complications.

Specialty Considerations

Endocrinologists should ensure comprehensive documentation of diabetes control and complications.

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 data collection and reimbursement processes. It emphasizes the importance of documenting the cause of diabetes and associated complications.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of drug-induced diabetes, improving the accuracy of data collection and reimbursement processes. It emphasizes the importance of documenting the cause of diabetes and associated complications.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the importance of documenting the cause of diabetes and associated complications.

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?

Several classes of medications can induce diabetes, including corticosteroids, certain antipsychotics, and some chemotherapeutic agents. It is crucial to monitor blood glucose levels in patients starting these medications.