Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy
ICD-10 E09.34 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy.
E09.34 refers to diabetes mellitus that is induced by drugs or chemicals, specifically characterized by severe nonproliferative diabetic retinopathy. This condition arises when certain medications, such as corticosteroids or antipsychotics, lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels. The severe nonproliferative diabetic retinopathy indicates significant retinal damage due to prolonged hyperglycemia, characterized by retinal hemorrhages, exudates, and microaneurysms. Management of this condition requires careful monitoring of blood glucose levels, often necessitating insulin therapy or other antidiabetic medications. Regular ophthalmologic evaluations are crucial to assess the progression of retinopathy and to implement timely interventions to prevent vision loss. The interplay between drug-induced diabetes and its complications underscores the importance of comprehensive patient management, including lifestyle modifications and potential adjustments in medication regimens.
Thorough medication history, HbA1c levels, and detailed assessment of diabetes management.
Patients presenting with new-onset diabetes after starting corticosteroids or antipsychotics.
Endocrinologists must ensure clear documentation linking drug use to diabetes onset and monitor for complications.
Detailed retinal examination findings, including the extent of nonproliferative changes.
Patients with diabetes presenting for routine eye exams or with vision changes.
Ophthalmologists should document the severity of retinopathy and any interventions performed.
Used for follow-up visits for diabetes management and retinopathy assessment.
Document patient history, examination findings, and management plan.
Endocrinologists should include medication adjustments and retinopathy monitoring.
Common medications include corticosteroids, certain antipsychotics, and some antihypertensives. It's important to review the patient's medication history to identify potential causes.
