Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
ICD-10 E09.329 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema.
E09.329 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by the presence of mild nonproliferative diabetic retinopathy without macular edema. This condition arises when certain medications or substances disrupt normal glucose metabolism, leading to elevated blood glucose levels. Nonproliferative diabetic retinopathy is an early stage of diabetic eye disease where small blood vessels in the retina become damaged, but there is no significant swelling or leakage of fluid into the macula. Patients may present with symptoms such as blurred vision or difficulty focusing, but often the condition is asymptomatic in its early stages. Management of this condition involves controlling blood glucose levels, monitoring HbA1c levels, and regular eye examinations to prevent progression of retinopathy. Insulin management may be necessary depending on the severity of diabetes and the specific drug or chemical involved. Understanding the underlying cause of the diabetes is crucial for effective treatment and prevention of further complications.
Detailed medication history, HbA1c levels, and treatment plans.
Patients presenting with new-onset diabetes after starting a new medication.
Ensure accurate documentation of the drug history and its timing relative to diabetes onset.
Comprehensive eye examination findings, including retinopathy assessment.
Patients with diabetes presenting for routine eye exams or with vision complaints.
Document the absence of macular edema and the specific findings of retinopathy.
Used for follow-up visits for diabetes management.
Document patient's diabetes management plan and any changes in medication.
Endocrinologists should ensure comprehensive medication reviews are included.
Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, and some antihypertensive medications. It is important to document the specific drug responsible for accurate coding.
