Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy
ICD-10 E09.43 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy.
E09.43 refers to diabetes mellitus that is induced by drugs or chemicals, leading to neurological complications, specifically diabetic autonomic (poly)neuropathy. This condition arises when certain medications or toxic substances disrupt normal glucose metabolism, resulting in elevated blood glucose levels. The autonomic neuropathy associated with this code can affect various bodily functions, including heart rate, blood pressure, and digestion, leading to symptoms such as dizziness, gastrointestinal issues, and abnormal heart rhythms. Management of this condition requires careful monitoring of blood glucose levels, often assessed through HbA1c testing, which reflects average blood glucose over the past two to three months. Insulin management may be necessary, particularly if the drug-induced diabetes is severe. Understanding the underlying cause of the diabetes, including the specific drug or chemical involved, is crucial for effective treatment and prevention of further complications.
Detailed medication history, HbA1c levels, and assessment of complications.
Patients presenting with new-onset diabetes after starting a new medication.
Endocrinologists must ensure that the cause of diabetes is clearly documented to support the use of E09.43.
Neurological assessments, including autonomic function tests.
Patients with diabetes presenting with neuropathic symptoms.
Neurologists should document the relationship between diabetes and neurological symptoms to support coding.
Used to monitor long-term glucose control in patients with drug-induced diabetes.
Document the reason for the test and the patient's diabetes management plan.
Endocrinologists should ensure that HbA1c levels are regularly monitored to assess treatment efficacy.
Several classes of medications can induce diabetes, including corticosteroids, antipsychotics, and certain antihypertensives. It is essential to review the patient's medication history to identify potential causes.
