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ICD-10 Guide
ICD-10 CodesE09.3532

E09.3532

Billable

Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula (left eye)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E09.3532 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 (left eye).

Key Diagnostic Point:

E09.3532 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 left eye. Proliferative diabetic retinopathy is characterized by the growth of new blood vessels on the retina, which can lead to serious vision problems. In this case, the traction retinal detachment does not involve the macula, which is crucial for central vision. The condition arises from the effects of certain medications or toxins that disrupt normal glucose metabolism, leading to hyperglycemia and subsequent diabetic complications. Management of this condition often requires a multidisciplinary approach, including endocrinology for diabetes management and ophthalmology for retinal issues. Regular monitoring of HbA1c levels is essential to assess long-term glycemic control, and insulin therapy may be necessary to manage blood glucose levels effectively.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Specificity of the drug or chemical causing diabetes
  • Detailed documentation of retinal complications
  • Differentiation between types of diabetic retinopathy
  • Need for precise eye anatomy description

Audit Risk Factors

  • Inadequate documentation of drug history
  • Failure to specify the type of diabetic retinopathy
  • Lack of clarity on the involvement of the macula
  • Missing HbA1c levels in medical records

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Comprehensive medication history, HbA1c levels, and management plans.

Common Clinical Scenarios

Patients presenting with new-onset diabetes due to medication, requiring insulin management.

Billing Considerations

Ensure clear documentation of the drug responsible for diabetes and its management.

Ophthalmology

Documentation Requirements

Detailed retinal examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients with proliferative diabetic retinopathy requiring laser treatment or surgery.

Billing Considerations

Document the extent of retinal detachment and any interventions performed.

Coding Guidelines

Inclusion Criteria

Use E09.3532 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the drug or chemical causing diabetes and the specific complications
  • Include any relevant lab results, such as HbA1c levels, to support the diagnosis

Exclusion Criteria

Do NOT use E09.3532 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

67228CPT Code

Laser photocoagulation of the retina

Clinical Scenario

Used for treatment of proliferative diabetic retinopathy.

Documentation Requirements

Document the extent of retinal damage and treatment rationale.

Specialty Considerations

Ophthalmologists should document the specific areas treated.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes and its complications, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes and its complications, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of drugs can induce diabetes mellitus?

Several classes of medications, including corticosteroids, antipsychotics, and certain chemotherapy agents, can induce diabetes by affecting insulin secretion or action.