Drug or chemical induced diabetes mellitus with other oral complications
ICD-10 E09.638 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with other oral complications.
Drug or chemical induced diabetes mellitus (E09) refers to diabetes that arises as a result of the use of certain medications or chemicals. This condition can lead to various complications, including oral complications such as periodontal disease, dry mouth, and oral infections. Patients with drug-induced diabetes may experience elevated blood glucose levels due to the pharmacological effects of the drugs, which can impair insulin secretion or action. The management of this condition often involves monitoring HbA1c levels to assess long-term glucose control, with target levels typically set below 7% for most adults. Insulin management may be necessary, particularly if the diabetes is severe or if oral hypoglycemic agents are ineffective. Additionally, patients may require dental evaluations and interventions to address oral complications, which can further complicate their overall health status. Understanding the interplay between the drug or chemical exposure and the resultant diabetes is crucial for effective treatment and management.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with new-onset diabetes after starting corticosteroids or antipsychotics.
Endocrinologists must ensure that the cause of diabetes is clearly linked to the medication.
Oral health assessments, treatment plans for oral complications.
Patients with diabetes presenting for dental care with periodontal disease.
Dentists should document the impact of diabetes on oral health and any related complications.
Used for follow-up visits for diabetes management.
Document the patient's diabetes management plan and any complications.
Endocrinologists should ensure comprehensive documentation of diabetes control.
Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, and some antihypertensive medications. It is important to review the patient's medication history to identify potential causes.
