Drug or chemical induced diabetes mellitus with periodontal disease
ICD-10 E09.630 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with periodontal disease.
E09.630 refers to diabetes mellitus that is induced by drugs or chemicals, specifically highlighting the presence of periodontal disease as a complication. This condition arises when certain medications, such as glucocorticoids or antipsychotics, lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels. Periodontal disease, characterized by inflammation and infection of the gums, is a common complication in diabetic patients due to poor glycemic control. The interplay between diabetes and periodontal disease is significant, as high blood sugar levels can exacerbate gum disease, leading to further complications. Management of this condition requires a multidisciplinary approach, including careful monitoring of blood glucose levels, regular dental check-ups, and appropriate treatment of both diabetes and periodontal disease. The goal is to achieve optimal glycemic control, typically indicated by HbA1c levels below 7%, while also addressing oral health to prevent further complications.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with new-onset diabetes after starting corticosteroids.
Ensure clear documentation of the drug responsible for diabetes and its management.
Records of periodontal assessments and treatment plans.
Patients with diabetes presenting for periodontal therapy.
Document the impact of diabetes on periodontal health and treatment outcomes.
Used for follow-up visits for diabetes management.
Document patient's diabetes management plan and periodontal status.
Endocrinologists should document medication adjustments and HbA1c levels.
Used for periodontal surgery in diabetic patients.
Detailed surgical notes and patient’s diabetes status.
Dentists should document the impact of diabetes on healing.
Common medications that can induce diabetes include glucocorticoids, thiazide diuretics, and certain antipsychotics. It is important to monitor blood glucose levels in patients starting these medications.
Periodontal disease is more prevalent in diabetic patients due to impaired immune response and poor glycemic control, which can lead to increased inflammation and infection in the gums.
