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ICD-10 Guide
ICD-10 CodesE09.59

E09.59

Billable

Drug or chemical induced diabetes mellitus with other circulatory complications

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

Code Description

ICD-10 E09.59 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with other circulatory complications.

Key Diagnostic Point:

E09.59 refers to diabetes mellitus that is induced by drugs or chemicals, which can lead to various complications, particularly affecting the circulatory system. This condition is often seen in patients who are undergoing treatment with certain medications, such as glucocorticoids, antipsychotics, or other agents that can disrupt glucose metabolism. The resulting diabetes may present with elevated HbA1c levels, indicating poor glycemic control. Patients may experience complications such as peripheral vascular disease, hypertension, or other circulatory issues, which can exacerbate the overall health status and complicate management. Insulin management may be necessary, especially if the diabetes is severe or if the patient has a history of insulin resistance. It is crucial for healthcare providers to monitor HbA1c levels regularly and adjust treatment plans accordingly to mitigate the risk of further complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Identification of the specific drug or chemical causing diabetes
  • Documentation of circulatory complications
  • Differentiation from other types of diabetes
  • Management of multiple comorbidities

Audit Risk Factors

  • Inadequate documentation of drug history
  • Failure to document circulatory complications
  • Incorrect coding of diabetes type
  • Lack of evidence for HbA1c monitoring

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and management plans.

Common Clinical Scenarios

Patients presenting with new-onset diabetes after starting corticosteroids.

Billing Considerations

Ensure clear documentation of the relationship between medication and diabetes onset.

Cardiology

Documentation Requirements

Assessment of circulatory complications and their management.

Common Clinical Scenarios

Patients with diabetes presenting with peripheral artery disease.

Billing Considerations

Document the impact of diabetes on cardiovascular health.

Coding Guidelines

Inclusion Criteria

Use E09.59 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the cause of diabetes is clearly documented
  • Include any relevant circulatory complications and ensure that the diagnosis aligns with the treatment provided

Exclusion Criteria

Do NOT use E09.59 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 history, examination, and medical decision-making.

Specialty Considerations

Endocrinologists should focus on medication adjustments and HbA1c monitoring.

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 data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of drug-induced diabetes, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 types of drugs can induce diabetes?

Common drugs include glucocorticoids, antipsychotics, and certain diuretics, which can affect insulin sensitivity and glucose metabolism.