Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication
ICD-10 E09.39 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication.
E09.39 refers to diabetes mellitus that has been induced by drugs or chemicals, accompanied by other diabetic ophthalmic complications. This condition arises when certain medications, such as corticosteroids or antipsychotics, lead to hyperglycemia and subsequent diabetes mellitus. The ophthalmic complications may include diabetic retinopathy, cataracts, or other vision-related issues that arise due to prolonged elevated blood glucose levels. Management of this condition requires careful monitoring of blood glucose levels, typically assessed through HbA1c testing, which reflects average blood glucose over the past 2-3 months. Insulin management may be necessary, especially if the diabetes is severe or uncontrolled. The presence of ophthalmic complications necessitates a multidisciplinary approach, often involving endocrinologists and ophthalmologists, to ensure comprehensive care and management of both diabetes and its complications.
Detailed medication history, HbA1c levels, and treatment plans
Patients presenting with hyperglycemia after starting new medications
Ensure clear documentation of the relationship between medication and diabetes onset
Detailed eye examination findings, including any diabetic retinopathy or cataracts
Patients with diabetes presenting for routine eye exams or vision changes
Document the timeline of diabetes onset in relation to ophthalmic symptoms
Used for follow-up visits for diabetes management
Document patient's diabetes management plan and any complications
Endocrinologists should ensure comprehensive documentation of diabetes status
Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, thiazide diuretics, and some immunosuppressants. It is important to document the specific medication responsible for accurate coding.
