Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy (unspecified eye)
ICD-10 E09.3559 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy (unspecified eye).
E09.3559 refers to diabetes mellitus that has been induced by drugs or chemicals, leading to complications such as stable proliferative diabetic retinopathy in an unspecified eye. This condition arises when certain medications, such as glucocorticoids or antipsychotics, disrupt normal glucose metabolism, resulting in hyperglycemia and subsequent diabetes. Proliferative diabetic retinopathy is a severe complication characterized by the growth of new blood vessels in the retina, which can lead to vision loss. The term 'stable' indicates that the retinopathy has not progressed, but ongoing monitoring is essential. Management of this condition typically involves controlling blood glucose levels through lifestyle modifications, oral hypoglycemic agents, or insulin therapy, while also addressing the retinopathy through regular ophthalmologic evaluations and potential interventions such as laser therapy. The complexity of managing drug-induced diabetes lies in the need to balance the treatment of the underlying condition necessitating the drug with the management of diabetes and its complications.
Detailed medication history, HbA1c levels, and treatment plans.
Patients presenting with new-onset diabetes after starting a new medication.
Close monitoring of blood glucose levels and potential adjustments in diabetes management.
Detailed retinal examination findings and treatment plans for retinopathy.
Patients with diabetes presenting for routine eye exams or treatment of retinopathy.
Documentation of the stability of retinopathy and any interventions performed.
Used for follow-up visits for diabetes management.
Document the patient's diabetes management plan and any changes in medication.
Endocrinologists should ensure comprehensive documentation of diabetes control.
Medications such as glucocorticoids, certain antipsychotics, and some antihypertensives can induce diabetes by affecting insulin sensitivity or secretion.
