Drug or chemical induced diabetes mellitus with foot ulcer
ICD-10 E09.621 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with foot ulcer.
E09.621 refers to diabetes mellitus that has been induced by drugs or chemicals, specifically characterized by the presence of a foot ulcer. This condition arises when certain medications, such as corticosteroids or antipsychotics, lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels. The foot ulcer is a significant complication of diabetes, often resulting from neuropathy, poor circulation, and impaired wound healing associated with hyperglycemia. Management of this condition requires careful monitoring of blood glucose levels, typically assessed through HbA1c testing, which reflects average blood glucose over the past two to three months. Treatment may involve insulin therapy, oral hypoglycemic agents, and wound care for the ulcer. The presence of a foot ulcer complicates the management of diabetes, as it increases the risk of infections and may necessitate surgical intervention. Therefore, comprehensive care is essential to address both the diabetes and the ulcer effectively.
Detailed medication history, HbA1c levels, and treatment plans
Patients presenting with new-onset diabetes due to medication, management of diabetes with concurrent foot ulcers
Endocrinologists must ensure clear documentation of the relationship between drug use and diabetes onset.
Assessment of foot ulcer, treatment plans, and diabetes management
Patients with diabetic foot ulcers requiring surgical intervention or wound care
Podiatrists should document the impact of diabetes on wound healing and any referrals to endocrinology.
Used for treating diabetic foot ulcers requiring extensive debridement.
Document the extent of debridement and the condition of the ulcer.
Podiatrists should ensure that the procedure is linked to the diabetic diagnosis.
Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, and some antihypertensive medications. It is important to document the specific drug responsible for accurate coding.
