2025 ICD-10-CM code E09
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Endocrine, nutritional and metabolic diseases - Diabetes mellitus Endocrine, nutritional and metabolic diseases (E00-E89) Feed
Drug- or chemical-induced diabetes mellitus.
Modifiers may be applicable depending on the circumstances of the encounter.
Medical necessity is established when a patient presents with hyperglycemia directly attributable to long-term use of specific medications.Discontinuation of the causative medication, or a change to a different medication, if possible, is considered medically necessary. If glucose levels do not return to normal,additional treatment with insulin or other anti-diabetic medication is medically necessary to prevent complications.
The clinical responsibility involves diagnosing drug-induced diabetes through a comprehensive history, physical examination, and laboratory tests.Managing the condition involves identifying the causative agent, assessing the severity of hyperglycemia, and determining appropriate treatment strategies which may include medication changes, lifestyle modifications, or insulin therapy.Monitoring blood glucose levels is crucial for effective management.
In simple words: Drug-induced diabetes is a type of diabetes caused by taking certain medicines or chemicals for a long time.These medicines can make your body's blood sugar go too high.It often gets better if you stop taking the medicine that's causing the problem.Sometimes, however, you may need medicine to control your blood sugar.
Drug- or chemical-induced diabetes mellitus (DM) is a secondary type of diabetes characterized by abnormally high blood sugar levels resulting from long-term use of certain medications or chemicals.This condition can be caused by various mechanisms, including insulin resistance, increased hepatic glucose production, decreased insulin secretion, and impaired glucose tolerance. Medications implicated include antidepressants, antipsychotics, thiazide diuretics, steroids, glucocorticoids, and others.Diagnosis involves reviewing medical history, physical examination, and laboratory tests such as fasting plasma glucose, HbA1c levels, and lipid profile. Treatment typically involves discontinuing the offending medication; if the diabetes is not reversible, further management may include non-insulin and insulin therapies.
Example 1: A 55-year-old female patient on long-term corticosteroid therapy for rheumatoid arthritis develops hyperglycemia.Laboratory tests confirm drug-induced diabetes.The physician discontinues the corticosteroid and initiates lifestyle modifications, including dietary adjustments and increased physical activity. Blood glucose levels are monitored closely., A 62-year-old male patient taking antipsychotic medication for schizophrenia experiences symptoms of hyperglycemia, including increased thirst and urination.Diagnosis of drug-induced diabetes is made.The physician attempts to switch to a different antipsychotic with a lower risk of hyperglycemia.Close monitoring of blood glucose levels is necessary., A 40-year-old patient with a history of type 2 diabetes mellitus experiences worsening of glycemic control after starting a new medication. This is due to the drug's interference with insulin action or secretion. The physician adjusts the diabetes medication based on blood glucose monitoring.
Detailed medication history, including dosage and duration; results of fasting plasma glucose, HbA1c levels, and lipid profile; documentation of symptoms; physician's plan of care.
** Drug-induced diabetes is potentially reversible upon discontinuation of the offending drug.However, long-term effects may persist even after the causative agent is removed, necessitating continued monitoring and management.
- Payment Status: Active
- Specialties:Endocrinology, Internal Medicine, Diabetology
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient