Drug or chemical induced diabetes mellitus with other diabetic arthropathy
ICD-10 E09.618 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with other diabetic arthropathy.
E09.618 refers to diabetes mellitus that is induced by drugs or chemicals, leading to complications such as diabetic arthropathy. This condition can arise from various medications, including corticosteroids, antipsychotics, and certain antiretrovirals, which can disrupt glucose metabolism and lead to insulin resistance or impaired insulin secretion. Patients may present with symptoms typical of diabetes, including polyuria, polydipsia, and fatigue. The presence of diabetic arthropathy indicates that the patient is experiencing joint pain or complications related to diabetes, which can include neuropathy or osteoarthritis. Management of this condition involves careful monitoring of blood glucose levels, with HbA1c levels being a critical marker for long-term glucose control. Insulin therapy may be necessary, especially if the patient exhibits significant insulin resistance. Regular follow-up is essential to adjust treatment plans and prevent further complications associated with diabetes, such as cardiovascular disease, nephropathy, and retinopathy.
Detailed medication history, HbA1c levels, and treatment plans.
Patients presenting with new-onset diabetes after starting corticosteroids.
Ensure clear documentation of the drug responsible for diabetes onset.
Assessment of joint symptoms and diabetes management strategies.
Patients with joint pain and a history of diabetes due to medication.
Document the relationship between diabetes and arthropathy clearly.
Used for follow-up visits for diabetes management.
Document patient history, medication changes, and HbA1c levels.
Endocrinologists should ensure comprehensive diabetes management documentation.
Medications such as corticosteroids, certain antipsychotics, and thiazide diuretics are known to potentially induce diabetes by affecting insulin sensitivity or secretion.
