2025 ICD-10-CM code E09.39
Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication. This is a secondary type of diabetes caused by drugs or chemicals, resulting in eye complications other than cataract, retinopathy, or macular edema.
Medical necessity must be established by demonstrating a causal link between the medication and the development of diabetes and its ophthalmic complications. The documentation should support the diagnosis and the need for the specific treatments provided.
Clinicians should discontinue the causative medication if possible to prevent permanent diabetes. Managing blood sugar and blood pressure is crucial for eye care. Treatment for eye complications can range from laser photocoagulation and medication to surgery in severe cases.Diabetes management may involve non-insulin or insulin therapies.
In simple words: This code describes diabetes caused by certain medications, leading to eye problems. It's different from usual diabetes and has specific eye-related symptoms besides the common diabetes symptoms.
Drug–or chemical–induced diabetes mellitus (DM) with other diabetic ophthalmic complication is a secondary type of diabetes resulting from long-term use of certain medications like antidepressants, antipsychotics, thiazide diuretics, or steroids. This condition is characterized by elevated blood sugar levels and eye complications beyond diabetic cataract, retinopathy, and macular edema. Symptoms can include eye pain, blurred vision, double vision, retinal detachment, headache, glaucoma, dizziness, and potentially blindness. General diabetic symptoms like increased urination and thirst, excessive hunger, fatigue, weight loss, and frequent infections may also occur.
Example 1: A patient on long-term steroid therapy for an autoimmune disorder develops elevated blood sugar and blurred vision with retinal detachment, diagnosed as drug-induced diabetes with a diabetic ophthalmic complication., A patient taking antipsychotic medication experiences increased thirst, frequent urination, and double vision. Tests reveal high blood sugar and glaucoma, indicating drug-induced diabetes with a diabetic ophthalmic complication., A patient with a history of antidepressant use presents with eye pain, dizziness, and fluctuating blood sugar levels. Examination reveals optic nerve damage and other ophthalmic complications besides the common ones, leading to a diagnosis of drug-induced diabetes with other diabetic ophthalmic complications.
Documentation should include the type of diabetes, the causative drug or chemical, the specific eye complication(s), blood glucose levels, HbA1c levels, and other relevant lab and imaging results. Details of the treatment provided, such as medication, laser therapy, or surgery, should also be documented.
- Specialties:Endocrinology, Ophthalmology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital