ICD 10 CM E09.65 | Description & Clinical Information

ICD 10 E09.65 describes a medical condition characterized by abnormally high blood sugar levels, known as hyperglycemia, which is induced by the long-term use of certain drugs or chemicals such as antidepressants, antipsychotics, thiazide diuretics, or steroids, resulting in drug- or chemical-induced diabetes mellitus (DM).

Official Description Of E09.65

The ICD 10 CM book defines ICD 10 code E09.65 as:

Drug or chemical induced diabetes mellitus with hyperglycemia
Parent Code Notes: E09

Excludes1: diabetes mellitus due to underlying condition (E08.-)
gestational diabetes (O24.4-)
neonatal diabetes mellitus (P70.2)
postpancreatectomy diabetes mellitus (E13.-)
postprocedural diabetes mellitus (E13.-)
secondary diabetes mellitus NEC (E13.-)
type 1 diabetes mellitus (E10.-)
type 2 diabetes mellitus (E11.-)

Code first poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)

Use additional code to identify control using:
insulin (Z79.4)
oral antidiabetic drugs (Z79.84)
oral hypoglycemic drugs (Z79.84)

When To Use E09.65

The diagnosis describes by the ICD 10 CM E09.65 code, identifies a concerning medical condition where certain medications may increase a person’s blood sugar levels. If left untreated, this may result in permanent diabetes mellitus. The primary cause of hyperglycemia in individuals with diabetes is often related to a variety of factors, including inadequate insulin intake, physical inactivity, the use of steroids, and stress.

Unfortunately, individuals with drug or chemical-induced diabetes with hyperglycemia may not present any symptoms early on. Over time, however, these individuals may experience a variety of symptoms such as breathing difficulties, dry mouth, headache, irritability, altered mental status, and even comas. Other general symptoms of diabetes include increased urinary frequency and thirst, extreme hunger, fatigue, weight loss, and frequent infections. Furthermore, the side effects of the drugs used may lead to additional symptoms such as weakness, pain, difficulty breathing, frequent infections, loss of appetite, anemia, high blood pressure, and night sweats.

To diagnose drug or chemical-induced diabetes, healthcare providers typically rely on a patient’s medical history, a physical examination, and signs and symptoms. Laboratory tests are also used to confirm the presence of hyperglycemia or diabetes. These tests may include blood tests to measure fasting plasma glucose levels and levels of HbA1c, urine and stool exams, and lipid profiles.

Early stages of hyperglycemia can be prevented by maintaining good control over blood glucose levels. Similarly, increased doses of insulin can be used to help control hyperglycemia. Various non-insulin and insulin therapies are available to manage diabetes depending on the type of diabetes and the levels of glucose present in the blood.

How can healthcare providers prevent the development of drug or chemical-induced diabetes? First, healthcare providers must regularly evaluate a patient’s medication regimen to determine if there are any potential risks associated with diabetes development. Additionally, healthcare providers should discuss the risks of developing diabetes with their patients, especially if the patient has a family history of the condition. Finally, early detection of hyperglycemia or diabetes can help healthcare providers begin effective treatment plans that may delay or even prevent the onset of permanent diabetes.

In conclusion, the ICD 10 E09.65 code is a diagnosis code used to identify drug or chemical-induced diabetes with hyperglycemia. Patients with this condition are at risk for diabetes mellitus, a potentially serious chronic condition. Early detection and effective management of this condition is essential to prevent adverse effects on a patient’s overall health and wellbeing. Healthcare providers must remain vigilant when prescribing medications to their patients and regularly monitor their patient’s glucose levels to detect diabetes early.

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