Drug or chemical induced diabetes mellitus with oral complications
ICD-10 E09.63 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with oral complications.
Drug or chemical induced diabetes mellitus is a form of diabetes that arises as a result of the use of certain medications or chemicals that affect insulin secretion or action. This condition can lead to elevated blood glucose levels and may present with various oral complications, such as periodontal disease, dry mouth, and oral infections. The management of drug-induced diabetes often requires careful monitoring of blood glucose levels, with an emphasis on maintaining HbA1c levels below 7% to minimize complications. Insulin management may be necessary, particularly if the diabetes is severe or if oral hypoglycemic agents are ineffective. Patients may also experience complications related to their oral health, necessitating collaboration between endocrinologists and dental professionals to address both metabolic and oral health needs. Understanding the underlying cause of diabetes, including the specific drug or chemical involved, is crucial for effective treatment and prevention of further complications.
Detailed history of medication use, HbA1c levels, and treatment plans.
Patients presenting with elevated blood glucose levels after starting new medications.
Ensure clear documentation of the drug responsible for diabetes and any related complications.
Records of oral health assessments, treatment of oral complications, and coordination with endocrinology.
Patients with diabetes presenting with periodontal disease or dry mouth.
Collaboration with other specialties to manage oral health in diabetic patients.
Used for follow-up visits for diabetes management.
Document patient's diabetes management plan and any oral complications.
Endocrinologists should ensure comprehensive documentation of diabetes status.
Medications such as corticosteroids, certain antipsychotics, and some antihypertensives are known to potentially induce diabetes by affecting insulin secretion or action.
