Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema
ICD-10 E09.319 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema.
E09.319 refers to diabetes mellitus that has been induced by drugs or chemicals, characterized by the presence of unspecified diabetic retinopathy without macular edema. This condition arises when certain medications or toxic substances disrupt normal glucose metabolism, leading to hyperglycemia and subsequent diabetes. The retinopathy associated with this code indicates damage to the retinal blood vessels, which can occur even in the absence of macular edema, a more severe form of diabetic eye disease. Patients may present with varying degrees of visual impairment, and management typically involves controlling blood glucose levels to prevent further retinal damage. Regular eye examinations are crucial for early detection and management of retinopathy. The condition necessitates a multidisciplinary approach, including endocrinology for diabetes management and ophthalmology for eye health monitoring.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with new-onset diabetes after starting a new medication.
Close monitoring of blood glucose levels and potential adjustments in diabetes management.
Comprehensive eye examination reports, including retinal imaging.
Patients with diabetes presenting for routine eye exams or with visual complaints.
Documentation of retinopathy findings and correlation with diabetes management.
Used for follow-up visits for diabetes management.
Document patient's diabetes management plan and any changes in medication.
Endocrinologists should ensure comprehensive documentation of diabetes control.
Several classes of medications can induce diabetes, including glucocorticoids, certain antipsychotics, and some antihypertensives. It is essential to review the patient's medication history to identify potential causes.