ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesE09.3549

E09.3549

Billable

Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment (unspecified eye)

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

Code Description

ICD-10 E09.3549 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 (unspecified eye).

Key Diagnostic Point:

E09.3549 refers to diabetes mellitus that has been induced by drugs or chemicals, leading to significant complications including 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 experiences both traction retinal detachment and rhegmatogenous retinal detachment, indicating a severe progression of the disease. The unspecified eye designation indicates that the documentation does not specify which eye is affected. Management of this condition requires careful monitoring of blood glucose levels, often through HbA1c testing, to assess long-term glucose control. Insulin therapy may be necessary to manage blood sugar levels effectively, especially in cases where oral hypoglycemics are ineffective due to the drug-induced nature of the diabetes. The presence of diabetic retinopathy and retinal detachment complicates the clinical picture, necessitating a multidisciplinary approach for treatment and management.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Multiple complications involved (retinopathy and retinal detachment)
  • Drug-induced nature of diabetes complicates treatment options
  • Need for precise documentation of eye involvement
  • Potential for overlapping codes with other diabetic conditions

Audit Risk Factors

  • Inadequate documentation of drug history leading to diabetes
  • Failure to specify eye involvement
  • Lack of detailed treatment plans for retinopathy
  • Inconsistent HbA1c levels not correlating with diabetes management

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed history of diabetes management, including medication history and HbA1c levels.

Common Clinical Scenarios

Patients with drug-induced diabetes requiring insulin therapy and monitoring for complications.

Billing Considerations

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

Ophthalmology

Documentation Requirements

Comprehensive eye examination reports, including details on retinal detachment and treatment plans.

Common Clinical Scenarios

Patients presenting with vision changes due to diabetic retinopathy and retinal detachment.

Billing Considerations

Document the type of retinal detachment and any surgical interventions performed.

Coding Guidelines

Inclusion Criteria

Use E09.3549 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the patient's condition and that all relevant documentation supports the diagnosis
  • Include details on the drug or chemical causing the diabetes and the specific complications present

Exclusion Criteria

Do NOT use E09.3549 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

67028CPT Code

Laser photocoagulation

Clinical Scenario

Used for treating proliferative diabetic retinopathy.

Documentation Requirements

Document the extent of retinopathy and treatment plan.

Specialty Considerations

Ophthalmology should provide detailed reports on the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of conditions like drug-induced diabetes and its complications, improving the accuracy of patient records and facilitating better management of care.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of conditions like drug-induced diabetes and its complications, improving the accuracy of patient records and facilitating better management of care.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of conditions like drug-induced diabetes and its complications, improving the accuracy of patient records and facilitating better management of care.

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 is the significance of specifying the eye affected?

Specifying the eye affected is crucial for treatment planning and understanding the severity of the condition, as management may differ based on whether one or both eyes are involved.