Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (bilateral)
ICD-10 E09.3393 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema (bilateral).
E09.3393 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by moderate nonproliferative diabetic retinopathy without macular edema in both eyes. 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. The moderate nonproliferative diabetic retinopathy indicates changes in the retinal blood vessels, such as microaneurysms and retinal hemorrhages, but without the presence of macular edema, which is a more severe complication. Management of this condition typically involves controlling blood glucose levels through lifestyle modifications, oral hypoglycemic agents, or insulin therapy, while monitoring for potential progression of retinopathy. Regular eye examinations are crucial to assess the status of diabetic retinopathy and to prevent vision loss.
Detailed medication history, HbA1c levels, and treatment plans.
Patients presenting with new-onset diabetes after starting corticosteroids.
Ensure clear documentation of the drug responsible for diabetes and its management.
Retinal examination findings, including grading of diabetic retinopathy.
Patients with diabetes undergoing routine eye exams for retinopathy.
Document the absence of macular edema and any changes in retinopathy status.
Used for follow-up visits for diabetes management.
Document patient's diabetes management plan and retinopathy assessment.
Endocrinologists should ensure comprehensive documentation of diabetes control.
Common drugs that can induce diabetes include glucocorticoids, thiazide diuretics, and certain antipsychotics. These medications can lead to insulin resistance or impaired insulin secretion.
Diabetic retinopathy is classified into nonproliferative and proliferative stages. Nonproliferative diabetic retinopathy can be further categorized into mild, moderate, and severe based on the presence of retinal changes.
