Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema (bilateral)
ICD-10 E09.3413 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema (bilateral).
E09.3413 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by severe nonproliferative diabetic retinopathy with bilateral macular edema. 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 severe nonproliferative diabetic retinopathy indicates significant retinal damage without new blood vessel growth, while macular edema signifies fluid accumulation in the macula, leading to vision impairment. Management of this condition requires careful monitoring of blood glucose levels, typically assessed through HbA1c levels, which should ideally be maintained below 7% to prevent further complications. Insulin therapy may be necessary to achieve glycemic control, especially in cases where oral hypoglycemics are ineffective. Regular ophthalmologic evaluations are crucial to monitor the progression of retinopathy and to initiate timely interventions to preserve vision.
Detailed medication history, HbA1c levels, and management plans
Patients with diabetes due to corticosteroid therapy, management of insulin therapy
Need for comprehensive metabolic assessments and monitoring of complications
Detailed retinal examination findings, imaging results, and treatment plans
Patients presenting with vision changes due to diabetic retinopathy
Importance of documenting the extent of retinopathy and treatment interventions
Used for follow-up visits for diabetes management and retinopathy evaluation.
Document patient history, examination findings, and treatment plans.
Endocrinologists and ophthalmologists should coordinate documentation for comprehensive care.
Medications such as glucocorticoids, thiazide diuretics, and certain antipsychotics are known to induce diabetes by affecting insulin sensitivity or secretion.
