Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (unspecified eye)
ICD-10 E09.3499 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema (unspecified eye).
E09.3499 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by severe nonproliferative diabetic retinopathy without macular edema in an unspecified eye. This condition arises when certain medications or substances disrupt normal glucose metabolism, leading to elevated blood glucose levels. The severe nonproliferative diabetic retinopathy indicates significant retinal damage, which can lead to vision impairment if not managed properly. Patients may present with symptoms such as blurred vision, floaters, or difficulty seeing at night. Management typically involves controlling blood glucose levels through lifestyle modifications, oral hypoglycemic agents, or insulin therapy. Regular ophthalmologic evaluations are crucial to monitor retinal health and prevent progression to proliferative diabetic retinopathy or other complications. The absence of macular edema distinguishes this condition from other forms of diabetic retinopathy, which may require different management strategies.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with new-onset diabetes after starting a specific medication.
Ensure clear documentation of the drug responsible for inducing diabetes.
Comprehensive eye exam results, including retinal imaging and assessment of retinopathy severity.
Patients with diabetes presenting for routine eye exams or with vision complaints.
Document the absence of macular edema and any changes in retinopathy status.
Used for routine eye exams in diabetic patients.
Document visual acuity, fundoscopic findings, and retinopathy assessment.
Ophthalmologists should ensure thorough documentation of retinopathy severity.
Common medications that can induce diabetes include corticosteroids, certain antipsychotics, and some antihypertensive agents. It is crucial to document the specific medication responsible for the condition.
