2025 ICD-10-CM code E09.649
(Active) Effective Date: N/A Endocrine, Nutritional and Metabolic Diseases - Drug or chemical induced diabetes mellitus with hypoglycemia 4 Feed
Diabetes mellitus caused by drugs or chemicals, accompanied by low blood sugar but without loss of consciousness.
The medical necessity for this code revolves around the presence of diabetes and hypoglycemia explicitly linked to medication or chemical use. The documentation should demonstrate a clear causal relationship between the drug/chemical and the patient's fluctuating blood sugar levels. Any treatment provided for hypoglycemia, including medication adjustments, dietary counseling, or glucagon administration, must be justified by the documented symptoms and blood glucose readings.
Clinicians should carefully monitor patients on medications known to affect blood sugar levels. If drug-induced diabetes is diagnosed, the causative medication should be discontinued if possible, or the dosage adjusted.Treatment for hypoglycemia might involve adjusting medication, dietary changes, or in severe cases, glucagon administration.Long-term management aims to prevent further hypoglycemic episodes and control blood sugar levels.
In simple words: This code describes diabetes caused by medicine or chemicals, leading to low blood sugar, but not so severe as to cause unconsciousness.
Drug or chemical induced diabetes mellitus with hypoglycemia without coma refers to a condition where a patient experiences abnormally high blood sugar levels due to medications or chemicals, followed by significantly low blood sugar (hypoglycemia), but not to the extent of causing a coma. This condition is often associated with prolonged use of certain medications like antidepressants, antipsychotics, thiazide diuretics, or steroids.Symptoms of hypoglycemia include dizziness, confusion, sweating, shakiness, and hunger.
Example 1: A patient taking a prescribed steroid develops elevated blood sugar and subsequent hypoglycemia after meals, documented with blood tests but without loss of consciousness., A patient undergoing long-term treatment with antipsychotics presents with symptoms of both high and low blood sugar levels, confirmed by lab results, but without any episodes of coma., A patient taking thiazide diuretics experiences intermittent episodes of shakiness, sweating, and confusion due to low blood sugar, diagnosed by a physician and managed without requiring hospitalization for coma.
Documentation should include the type of medication or chemical causing the diabetes, the presence and severity of hypoglycemic episodes, blood glucose levels, HbA1c levels, and any other related symptoms. It's crucial to document the absence of coma during hypoglycemic events.
- Specialties:Endocrinology, Internal Medicine, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital