2025 ICD-10-CM code E09.22
Drug or chemical-induced diabetes mellitus with diabetic chronic kidney disease. Use additional code to identify stage of chronic kidney disease (N18.1-N18.6).
Medical necessity is established by the presence of both drug or chemical-induced diabetes and diabetic chronic kidney disease. The documentation should clearly link the CKD to the diabetes and justify the need for treatment and management of both conditions.
Diagnosis and management of drug or chemical-induced diabetes mellitus with associated chronic kidney disease, including assessment of diabetes control, kidney function, and overall patient health.
In simple words: This condition refers to diabetes caused by certain medications or chemicals, leading to kidney damage over time.It involves high blood sugar and impaired kidney function.
Diabetes mellitus (DM) induced by drugs or chemicals, along with chronic kidney disease (CKD) that is caused by the diabetes. This condition involves elevated blood sugar levels resulting from specific medications or chemical exposures, eventually leading to diabetic kidney damage.
Example 1: A patient with a history of long-term steroid use develops diabetes and subsequently experiences symptoms and signs consistent with chronic kidney disease., A patient on antipsychotic medication presents with new-onset diabetes and declining kidney function, confirmed through lab tests and imaging studies., A patient undergoing chemotherapy develops drug-induced diabetes, which over time leads to diabetic nephropathy and ultimately chronic kidney disease.
Documentation should include the type of drug or chemical causing the diabetes, evidence of diabetes (e.g., elevated blood glucose, HbA1c), and indicators of chronic kidney disease (e.g., decreased GFR, proteinuria), along with staging of the CKD.
- Payment Status: Billable/Specific Code
- Specialties:Endocrinology, Nephrology, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office