Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula (right eye)
ICD-10 E09.3531 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula (right eye).
E09.3531 refers to diabetes mellitus that is induced by drugs or chemicals, leading to significant complications such as proliferative diabetic retinopathy (PDR) and traction retinal detachment in the right eye. Proliferative diabetic retinopathy is characterized by the growth of new blood vessels on the retina, which can lead to severe vision impairment. The traction retinal detachment occurs when these new vessels pull on the retina, causing it to detach from the underlying tissue. This specific code indicates that the detachment does not involve the macula, which is crucial for central vision. Management of this condition often requires a multidisciplinary approach, including endocrinologists for diabetes management and ophthalmologists for retinal issues. Regular monitoring of HbA1c levels is essential to assess long-term glucose control, with targets typically set below 7% for most adults. Insulin therapy may be necessary, especially in cases where oral hypoglycemics are ineffective due to the drug-induced nature of the diabetes.
Comprehensive records of diabetes management, including medication lists and HbA1c levels.
Patients presenting with new-onset diabetes due to medication, requiring insulin therapy.
Ensure that the cause of diabetes is clearly linked to the drug or chemical.
Detailed retinal examination reports, imaging studies, and treatment plans for retinopathy.
Patients with proliferative diabetic retinopathy requiring laser treatment or vitrectomy.
Document the extent of retinal detachment and any interventions performed.
Used for treatment of proliferative diabetic retinopathy.
Document the extent of retinopathy and treatment rationale.
Ophthalmologists must provide detailed reports of the procedure.
Several classes of medications can induce diabetes, including corticosteroids, certain antipsychotics, and some antiretroviral drugs. It is essential to document the specific drug responsible for accurate coding.
