Drug or chemical induced diabetes mellitus with unspecified complications
ICD-10 E09.8 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with unspecified complications.
Drug or chemical induced diabetes mellitus is a condition where diabetes develops as a direct result of exposure to certain medications or chemicals. This can occur due to various pharmacological agents, including glucocorticoids, antipsychotics, and certain chemotherapy drugs. The pathophysiology involves the disruption of insulin secretion or action, leading to hyperglycemia. Patients may present with symptoms similar to those of type 2 diabetes, including increased thirst, frequent urination, and fatigue. The complications associated with drug-induced diabetes can vary widely and may include cardiovascular disease, neuropathy, nephropathy, and retinopathy, although this code specifies that complications are unspecified. Management typically involves monitoring blood glucose levels, lifestyle modifications, and possibly insulin or oral hypoglycemic agents, depending on the severity of the condition. Regular HbA1c testing is crucial for assessing long-term glycemic control, with target levels generally being below 7% for most adults. Understanding the underlying cause of diabetes is essential for effective treatment and management.
Thorough documentation of patient history, including medications and any laboratory results related to glucose levels.
Patients presenting with new-onset diabetes after starting a new medication.
Endocrinologists should ensure that the specific drug causing diabetes is clearly documented to avoid confusion with other diabetes types.
Documentation of psychiatric medications prescribed and their potential side effects on glucose metabolism.
Patients on antipsychotic medications who develop hyperglycemia.
Psychiatrists should be aware of the metabolic side effects of medications and document any changes in glucose levels.
Used to monitor long-term glucose control in patients with drug-induced diabetes.
Document the date of the test and the results.
Endocrinologists should ensure that HbA1c levels are monitored regularly.
Common drugs that can induce diabetes include glucocorticoids, antipsychotics, and certain antihypertensives. It is essential to review the patient's medication history to identify potential causes.
