Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (right eye)
ICD-10 E09.3541 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (right eye).
E09.3541 refers to diabetes mellitus that has been induced by drugs or chemicals, leading to significant complications such as proliferative diabetic retinopathy. This condition is characterized by the growth of abnormal blood vessels in the retina, which can lead to vision loss. In this specific case, the patient presents with both traction retinal detachment and rhegmatogenous retinal detachment in the right eye. Traction retinal detachment occurs when scar tissue pulls the retina away from the underlying tissue, while rhegmatogenous retinal detachment is caused by a tear or break in the retina. The management of this condition requires careful monitoring of blood glucose levels, typically assessed through HbA1c levels, and may involve insulin therapy to control diabetes. The presence of proliferative diabetic retinopathy indicates a severe form of the disease, necessitating potential surgical interventions to address the retinal detachments and prevent further vision loss.
Detailed history of diabetes management, including medication use and HbA1c levels.
Patients with drug-induced diabetes requiring insulin therapy and monitoring.
Ensure documentation reflects the cause of diabetes and its management.
Comprehensive eye examination findings, including details of retinal detachment.
Patients presenting with vision changes due to diabetic retinopathy.
Document the type of retinal detachment and any surgical interventions performed.
Used for surgical repair of retinal detachment in patients with diabetic retinopathy.
Document the indication for surgery and the patient's diabetic status.
Ophthalmologists should ensure that the surgical necessity is clearly linked to the diabetic condition.
Coding E09.3541 accurately reflects the complexity of a patient's condition, including the specific cause of diabetes and its severe complications, which is crucial for appropriate management and reimbursement.