Drug or chemical induced diabetes mellitus without complications
ICD-10 E09.9 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus without complications.
Drug or chemical induced diabetes mellitus is a form of diabetes that arises as a direct consequence of pharmacological agents or toxic substances. This condition is characterized by an increase in blood glucose levels due to the effects of certain medications or chemicals that impair insulin secretion or action. Common culprits include glucocorticoids, thiazide diuretics, and antipsychotic medications. Patients may present with symptoms similar to those of type 2 diabetes, including polyuria, polydipsia, and unexplained weight loss. Diagnosis is typically confirmed through elevated HbA1c levels, which indicate poor glycemic control over the preceding months. Management often involves adjusting the offending medication, lifestyle modifications, and potentially the use of insulin or oral hypoglycemic agents. Importantly, this code is used when there are no associated complications, distinguishing it from other diabetes codes that may involve complications such as neuropathy or retinopathy.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with new-onset diabetes after starting glucocorticoids.
Endocrinologists must ensure clear documentation of the relationship between medication and diabetes onset.
Comprehensive patient history, medication review, and monitoring of blood glucose levels.
Routine follow-up of patients on medications known to induce diabetes.
Primary care providers should be vigilant in recognizing drug-induced diabetes and documenting it appropriately.
Used to monitor glycemic control in patients with drug-induced diabetes.
Document the date of the test and the results.
Endocrinologists may require more frequent monitoring based on medication changes.
Common medications include glucocorticoids, thiazide diuretics, and certain antipsychotics. These drugs can lead to insulin resistance or impaired insulin secretion, resulting in elevated blood glucose levels.
Drug-induced diabetes typically occurs after the initiation of a specific medication known to affect glucose metabolism. In contrast, type 2 diabetes is often associated with obesity and a family history of diabetes, and it develops gradually over time.
