Drug or chemical induced diabetes mellitus with hyperglycemia
ICD-10 E09.65 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with hyperglycemia.
Drug or chemical induced diabetes mellitus with hyperglycemia refers to a form of diabetes that arises as a direct consequence of pharmacological agents or chemical exposure. This condition is characterized by elevated blood glucose levels due to the effects of certain medications, such as glucocorticoids, antipsychotics, and some antiviral drugs. The hyperglycemia can manifest as either transient or persistent, depending on the duration and type of drug exposure. Patients may present with symptoms typical of diabetes, including increased thirst, frequent urination, and fatigue. Management often involves monitoring blood glucose levels, adjusting medication regimens, and potentially initiating insulin therapy or oral hypoglycemic agents. The condition necessitates careful evaluation of the patient's medication history and ongoing assessment of glycemic control, typically measured by HbA1c levels. Complications may include diabetic ketoacidosis, cardiovascular disease, and neuropathy, emphasizing the importance of comprehensive diabetes management.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with hyperglycemia after starting new medications.
Endocrinologists must ensure clear documentation of the relationship between drug use and diabetes onset.
Comprehensive patient history including medication review and lifestyle factors.
Routine follow-ups for patients on medications known to induce diabetes.
Primary care providers should monitor for signs of diabetes in patients on high-risk medications.
Used for follow-up visits for patients with drug-induced diabetes.
Document medication changes, HbA1c levels, and patient education.
Endocrinologists may require more detailed documentation than primary care.
Common medications that can induce diabetes include glucocorticoids, certain antipsychotics, and thiazide diuretics. It's important to review the patient's medication history to identify potential causes.
