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ICD-10 Guide
ICD-10 CodesE09.5

E09.5

Billable

Drug or chemical induced diabetes mellitus with circulatory complications

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E09.5 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with circulatory complications.

Key Diagnostic Point:

Drug or chemical induced diabetes mellitus with circulatory complications refers to diabetes that arises as a direct result of exposure to certain medications or chemicals. This condition is characterized by elevated blood glucose levels due to the pharmacological effects of drugs such as glucocorticoids, antipsychotics, and certain chemotherapy agents. The circulatory complications associated with this type of diabetes can include peripheral vascular disease, hypertension, and increased risk of cardiovascular events. Patients may present with symptoms such as fatigue, increased thirst, and frequent urination, alongside complications that affect blood flow and circulation. Management typically involves monitoring blood glucose levels, adjusting medication regimens, and implementing lifestyle changes. The presence of circulatory complications necessitates a multidisciplinary approach to care, often involving endocrinologists, cardiologists, and primary care providers to optimize patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between drug-induced diabetes and other types of diabetes.
  • Identifying and documenting specific circulatory complications.
  • Understanding the pharmacological agents that can induce diabetes.
  • Managing multiple comorbidities associated with diabetes and circulatory issues.

Audit Risk Factors

  • Inadequate documentation of drug history.
  • Failure to specify circulatory complications.
  • Misclassification of diabetes type.
  • Lack of evidence for drug-induced causation.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and evidence of circulatory complications.

Common Clinical Scenarios

Patients presenting with new-onset diabetes after starting corticosteroids.

Billing Considerations

Endocrinologists must ensure that the link between medication and diabetes is clearly documented.

Cardiology

Documentation Requirements

Assessment of circulatory complications and their management.

Common Clinical Scenarios

Patients with diabetes presenting with peripheral vascular disease or hypertension.

Billing Considerations

Cardiologists should document the impact of diabetes on cardiovascular health.

Coding Guidelines

Inclusion Criteria

Use E09.5 When
  • According to ICD
  • 10 guidelines, E09
  • 5 should be used when diabetes is specifically induced by drugs or chemicals and is accompanied by circulatory complications
  • Coders must ensure that the documentation supports the diagnosis and that the causative agent is clearly identified

Exclusion Criteria

Do NOT use E09.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for diabetes management.

Documentation Requirements

Document patient's medication history, HbA1c levels, and circulatory complications.

Specialty Considerations

Endocrinologists should ensure comprehensive assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of diabetes-related statistics and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of diabetes-related statistics and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of diabetes-related statistics and treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What medications are commonly associated with drug-induced diabetes?

Common medications include glucocorticoids, certain antipsychotics, and some chemotherapy agents. It's important to document any medication changes that may contribute to the onset of diabetes.