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ICD-10 Guide
ICD-10 CodesE09.622

E09.622

Billable

Drug or chemical induced diabetes mellitus with other skin ulcer

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

Code Description

ICD-10 E09.622 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with other skin ulcer.

Key Diagnostic Point:

E09.622 refers to diabetes mellitus that is induced by drugs or chemicals, leading to complications such as skin ulcers. This condition typically arises from the use of certain medications, such as glucocorticoids or antipsychotics, which can disrupt glucose metabolism and lead to hyperglycemia. Patients may present with symptoms of diabetes, including increased thirst, frequent urination, and fatigue. The presence of skin ulcers indicates a complication of diabetes, often due to poor circulation and neuropathy. Management of this condition involves controlling blood glucose levels through lifestyle modifications, monitoring HbA1c levels, and potentially using insulin therapy or oral hypoglycemic agents. Regular foot care and monitoring for skin integrity are crucial to prevent further complications. The complexity of managing drug-induced diabetes lies in the need to balance the treatment of the underlying condition for which the drug was prescribed while addressing the hyperglycemia and its complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of the drug or chemical causing diabetes
  • Differentiation from other types of diabetes mellitus
  • Management of concurrent skin ulcers
  • Monitoring and documentation of HbA1c levels

Audit Risk Factors

  • Inadequate documentation of the drug or chemical causing diabetes
  • Failure to document the presence and management of skin ulcers
  • Incorrect coding of diabetes type
  • Lack of HbA1c monitoring records

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and management plans.

Common Clinical Scenarios

Patients presenting with hyperglycemia after starting new medications.

Billing Considerations

Ensure clear documentation of the relationship between drug use and diabetes onset.

Dermatology

Documentation Requirements

Detailed descriptions of skin ulcers, treatment plans, and follow-up care.

Common Clinical Scenarios

Patients with diabetic ulcers requiring specialized wound care.

Billing Considerations

Document the impact of diabetes on skin health and ulcer healing.

Coding Guidelines

Inclusion Criteria

Use E09.622 When
  • Follow ICD
  • CM guidelines for coding diabetes mellitus, ensuring to document the specific drug or chemical involved
  • Include any relevant complications such as skin ulcers
  • Ensure that the documentation supports the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use E09.622 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.

Documentation Requirements

Document patient's diabetes management plan and any complications.

Specialty Considerations

Endocrinologists should focus on medication adjustments and monitoring.

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 data collection and management strategies for affected patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of data collection and management strategies for affected patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of data collection and management strategies for affected patients.

Resources

Clinical References

  • •
    American Diabetes Association

Coding & Billing References

  • •
    American Diabetes Association

Frequently Asked Questions

What medications can cause drug-induced diabetes?

Medications such as glucocorticoids, thiazide diuretics, and certain antipsychotics are known to induce diabetes by affecting insulin sensitivity and secretion.