Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy
ICD-10 E09.355 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy.
E09.355 refers to diabetes mellitus that has been induced by drugs or chemicals, specifically characterized by the presence of stable proliferative diabetic retinopathy. This condition arises when certain medications or substances lead to an increase in blood glucose levels, resulting in diabetes. Proliferative diabetic retinopathy is a severe complication of diabetes, where abnormal blood vessels grow in the retina, potentially leading to vision loss. The term 'stable' indicates that the retinopathy has not progressed or worsened, which is crucial for management and treatment planning. Patients with this condition may require careful monitoring of their HbA1c levels, which reflect average blood glucose over the past two to three months, to ensure they remain within target ranges. Insulin management may be necessary, especially if the diabetes is severe or if oral medications are ineffective. Understanding the interplay between the inducing agent and the diabetic complications is essential for effective treatment and coding.
Detailed history of diabetes onset, medication history, and current management plan.
Patients presenting with new-onset diabetes due to medication, requiring insulin therapy.
Ensure clear documentation of the drug responsible for diabetes and the management plan.
Comprehensive eye examination findings, including retinal imaging results.
Patients with diabetes presenting for routine eye exams or with vision changes.
Document the stability of retinopathy and any interventions performed.
Used for follow-up visits for diabetes management.
Document the patient's diabetes management plan, including medication adjustments and retinopathy assessment.
Endocrinologists should ensure comprehensive documentation of diabetes control and complications.
Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, and some medications used in cancer treatment. It is important to document the specific drug responsible for accurate coding.
