ICD-10-CM Billable Code

E09.351

Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code E09.351 refers to a specific type of diabetes mellitus caused by the use of certain drugs or chemicals. This form of diabetes is characterized by high blood sugar levels and can lead to serious eye complications, including proliferative diabetic retinopathy with macular edema. It is important to recognize and manage this condition promptly to prevent long-term health issues.

Causes & Symptoms

Clinical Causes: Use of certain medications such as thiazide diuretics, glucocorticoids, or atypical antipsychotics Exposure to industrial chemicals or toxins Reactions to specific drugs causing pancreatic beta-cell dysfunction Prolonged or high-dose treatment with drugs that impair glucose metabolism

Key Symptoms: Increased thirst and frequent urination Unexplained weight loss or gain Blurry vision or visual disturbances Fatigue and weakness Signs of eye disease, such as floaters or dark spots Swelling or pain in the eyes, if retinopathy progresses

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves blood tests to measure blood glucose levels and hemoglobin A1c. Eye examinations, including retinal imaging, help identify diabetic retinopathy and macular edema. Healthcare providers also review medication history to determine if drugs or chemicals may have contributed to the condition.

Treatment Protocols: Management focuses on controlling blood sugar levels through a combination of lifestyle changes and medication adjustments. Addressing the eye condition may involve laser therapy, injections, or other ophthalmologic procedures to reduce retinal swelling and prevent vision loss. Discontinuing or substituting the offending drug may be necessary under medical supervision.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is E09.351 a billable ICD-10 code?
Yes, E09.351 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E09.351?
Clinical documentation must specify the nature of Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

retinopathy proliferative macular edema diabetic chemical mellitus induced diabetes