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ICD-10 Guide
ICD-10 CodesE09.62

E09.62

Billable

Drug or chemical induced diabetes mellitus with skin complications

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

Code Description

ICD-10 E09.62 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with skin complications.

Key Diagnostic Point:

Drug or chemical induced diabetes mellitus is a condition where diabetes develops as a result of exposure to certain medications or chemicals. This can occur due to various pharmacological agents, including glucocorticoids, antipsychotics, and certain chemotherapy drugs. The skin complications associated with this type of diabetes can include infections, diabetic dermopathy, and necrobiosis lipoidica. Patients may present with elevated blood glucose levels and skin manifestations that require careful management. The condition is often reversible upon discontinuation of the offending agent, but it can lead to chronic complications if not managed properly. Monitoring HbA1c levels is crucial for assessing long-term glycemic control, and insulin management may be necessary depending on the severity of the diabetes. The presence of skin complications necessitates a multidisciplinary approach to treatment, including dermatological care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of the specific drug or chemical causing diabetes
  • Documentation of skin complications associated with diabetes
  • Differentiation from other types of diabetes mellitus
  • Management of diabetes and skin complications concurrently

Audit Risk Factors

  • Inadequate documentation of the drug or chemical exposure
  • Failure to document skin complications
  • Incorrect coding of diabetes type
  • Lack of HbA1c monitoring records

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed history of medication use, HbA1c levels, and management plans.

Common Clinical Scenarios

Patients presenting with new-onset diabetes after starting a new medication.

Billing Considerations

Endocrinologists must ensure clear documentation of the relationship between the drug and diabetes onset.

Dermatology

Documentation Requirements

Clinical notes on skin manifestations, treatment plans, and follow-up care.

Common Clinical Scenarios

Patients with skin infections or lesions related to diabetes.

Billing Considerations

Dermatologists should document the diabetes management plan to ensure comprehensive care.

Coding Guidelines

Inclusion Criteria

Use E09.62 When
  • According to ICD
  • 10 guidelines, E09
  • 62 should be used when diabetes is specifically induced by a drug or chemical and is accompanied by skin complications
  • Coders must ensure that the documentation supports the diagnosis and that the causative agent is clearly identified

Exclusion Criteria

Do NOT use E09.62 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for diabetes management and skin complications.

Documentation Requirements

Document the patient's diabetes status, treatment plan, and any skin issues.

Specialty Considerations

Endocrinologists should ensure comprehensive documentation of diabetes management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of diabetes-related data and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of diabetes-related data and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of diabetes-related data and facilitating better patient management.

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, thiazide diuretics, and some antiretroviral medications.