Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema (left eye)
ICD-10 E09.3412 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema (left eye).
E09.3412 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by severe nonproliferative diabetic retinopathy with macular edema specifically affecting the left eye. This condition arises when certain medications, such as corticosteroids or antipsychotics, lead to insulin resistance or impaired insulin secretion, resulting in hyperglycemia. The severe nonproliferative diabetic retinopathy indicates significant retinal damage, where the blood vessels in the retina are affected but have not yet led to new blood vessel growth. Macular edema, a complication of diabetic retinopathy, occurs when fluid leaks into the macula, leading to vision impairment. Management of this condition often requires a multidisciplinary approach, including endocrinology for diabetes management and ophthalmology for eye care. Regular monitoring of HbA1c levels is crucial to assess long-term glucose control, with targets typically set below 7% for most adults. Insulin therapy may be necessary to achieve glycemic control, especially in cases where oral medications are insufficient.
Detailed medication history, HbA1c levels, and treatment plans.
Management of diabetes induced by medications, monitoring of blood glucose levels.
Ensure clear documentation of the relationship between medication and diabetes onset.
Visual acuity tests, retinal examination findings, and treatment plans for retinopathy.
Assessment and treatment of diabetic retinopathy and macular edema.
Document the severity of retinopathy and any interventions performed.
Used for follow-up visits for diabetic retinopathy assessment.
Document visual acuity, fundoscopic findings, and treatment plan.
Ophthalmologists should ensure detailed documentation of retinopathy severity.
Medications such as corticosteroids, thiazide diuretics, and certain antipsychotics are known to induce diabetes by affecting insulin sensitivity or secretion.
