Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
ICD-10 E09.42 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy.
E09.42 refers to diabetes mellitus that is induced by drugs or chemicals, specifically characterized by neurological complications such as diabetic polyneuropathy. This condition arises when certain medications or toxic substances disrupt normal glucose metabolism, leading to hyperglycemia and subsequent diabetes. Neurological complications, particularly diabetic polyneuropathy, manifest as nerve damage, often resulting in symptoms like pain, tingling, and loss of sensation in the extremities. Management of this condition requires careful monitoring of blood glucose levels, typically assessed through HbA1c testing, which reflects average blood glucose over the past two to three months. Insulin therapy may be necessary to control blood sugar levels, especially in cases where oral hypoglycemics are ineffective. The presence of diabetic polyneuropathy complicates the clinical picture, as it can lead to further complications such as foot ulcers and infections, necessitating a multidisciplinary approach to treatment and management.
Detailed history of medication use, HbA1c levels, and neurological assessments.
Patients presenting with new-onset diabetes after starting a specific medication.
Endocrinologists must ensure clear documentation of the relationship between drug exposure and diabetes onset.
Neurological evaluations, symptom descriptions, and treatment plans for polyneuropathy.
Patients with diabetes presenting with neuropathic pain or sensory loss.
Neurologists should document the extent of nerve damage and its impact on the patient's quality of life.
Used to monitor glycemic control in patients with drug-induced diabetes.
Document the date of the test and the results.
Endocrinologists should correlate HbA1c results with treatment adjustments.
Several classes of medications can induce diabetes, including corticosteroids, antipsychotics, and certain chemotherapy agents. It is crucial to document the specific medication responsible for accurate coding.
