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ICD-10 Code E09.349 | Drug/chem diab w severe nonprlf diab rtnop w/o macular edema Symptoms, Diagnosis, Billing

Drug-induced or chemically induced diabetes mellitus can lead to severe non-proliferative diabetic retinopathy without macular edema. This condition is clinically significant as it can result in vision impairment and requires careful monitoring and management. The ICD-10 Code E09.349 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively track and manage this complication.

What is ICD-10 Code E09.349 for Drug/chem diab w severe nonprlf diab rtnop w/o macular edema?

ICD-10 Code E09.349 represents drug or chemical-induced diabetes mellitus with severe non-proliferative diabetic retinopathy without macular edema. This code should be used when documenting cases where diabetes is caused by medication or chemicals, leading to significant retinal changes. Accurate coding is essential for proper clinical documentation and billing, ensuring appropriate care and resource allocation.

ICD-10 Code E09.349 – Clinical Definition and Explanation of Drug/chem diab w severe nonprlf diab rtnop w/o macular edema

Drug or chemical-induced diabetes mellitus can lead to severe non-proliferative diabetic retinopathy, a condition characterized by retinal damage without the presence of macular edema. This condition often arises from the use of certain medications or exposure to toxic substances. It necessitates prompt medical attention to prevent further complications.

Key Clinical Features:

  • Severe retinal changes observed during fundoscopic examination.
  • History of drug or chemical exposure leading to diabetes.
  • Absence of macular edema despite significant retinal findings.
  • Potential for vision loss if not monitored and treated appropriately.

ICD-10 Code E09.349 for Drug/chem diab w severe nonprlf diab rtnop w/o macular edema – SOAP Notes & Clinical Use

ICD-10 Code E09.349 is utilized in SOAP notes to document the presence of severe non-proliferative diabetic retinopathy due to drug or chemical-induced diabetes. It plays a crucial role in capturing patient symptoms, assessments, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code E09.349 for Drug/chem diab w severe nonprlf diab rtnop w/o macular edema Mean in SOAP Notes?

In SOAP notes, ICD-10 Code E09.349 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of severe non-proliferative diabetic retinopathy. This code ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code E09.349 – Drug/chem diab w severe nonprlf diab rtnop w/o macular edema

Management of Drug/chem diab w severe nonprlf diab rtnop w/o macular edema requires a comprehensive approach to prevent progression and complications.

Antibiotic Therapy:

  • Not applicable as this condition is not infectious.

Supportive Care:

  • Regular ophthalmic examinations to monitor retinal changes.
  • Management of blood glucose levels to prevent further complications.
  • Patient education on recognizing symptoms of vision changes.

Infection Control:

  • Not applicable as this condition is not infectious.

How to Document Symptoms of Drug/chem diab w severe nonprlf diab rtnop w/o macular edema (ICD-10 E09.349) in SOAP Notes

Subjective:

  • Patient reports blurred vision and difficulty seeing at night.
  • History of diabetes secondary to medication use.
  • No reports of eye pain or redness.

Objective:

  • Fundoscopic exam reveals severe non-proliferative diabetic retinopathy.
  • Visual acuity testing shows reduced vision.
  • No signs of macular edema on optical coherence tomography.
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SOAP Note Guidelines for Diagnosing Drug/chem diab w severe nonprlf diab rtnop w/o macular edema (ICD-10 Code E09.349)

Assessment:

  • Diagnosis: Drug-induced diabetes with severe non-proliferative diabetic retinopathy.
  • ICD-10 Code: E09.349.
  • Contributing factors: Recent medication changes leading to hyperglycemia.

Plan:

  • Monitor blood glucose levels closely and adjust medications as needed.
  • Refer to ophthalmology for further evaluation and management of retinopathy.
  • Educate the patient on the importance of regular eye exams.

Treatment & Plan Section for ICD-10 Code E09.349 – Drug/chem diab w severe nonprlf diab rtnop w/o macular edema

  • Consider pharmacologic interventions to manage blood glucose levels.
  • Encourage lifestyle modifications, including diet and exercise.
  • Implement regular monitoring of retinal health through ophthalmic assessments.
  • Provide patient education on recognizing symptoms of worsening vision.

Using ICD-10 Code E09.349 for Drug/chem diab w severe nonprlf diab rtnop w/o macular edema in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in the Subjective (S) and Objective (O) sections.
  • Use the code in conjunction with appropriate treatment codes to support billing.
  • Align treatment plans with clinical guidelines to justify the use of E09.349.
  • Document any changes in medication that may have contributed to the condition.

ICD-10 Code E09.349 in Medical Billing and Insurance for Drug/chem diab w severe nonprlf diab rtnop w/o macular edema

ICD-10 Code E09.349 is critical in medical billing, particularly in hospital, ER, or specialty care settings.

Billing Notes:

  • Document all relevant patient history and medication use to support the diagnosis.
  • Use E09.349 in conjunction with other codes that reflect the patient's overall health status.
  • Ensure that all chart elements, including assessments and plans, align with the diagnosis for accurate billing.

Common CPT Pairings:

CPT CodeDescription
99214Established patient office visit, moderate complexity.
92014Ophthalmological examination, comprehensive, established patient.
83036Hemoglobin A1c test for monitoring diabetes.

Frequently Asked Questions

Common Questions About Using ICD-10 Code E09.349 for Drug/chem diab w severe nonprlf diab rtnop w/o macular edema

What medications can cause drug-induced diabetes?

Certain medications, such as corticosteroids, antipsychotics, and some antihypertensives, can induce diabetes by affecting insulin sensitivity or secretion.

How is diabetic retinopathy diagnosed?

Diabetic retinopathy is diagnosed through a comprehensive eye examination, including fundoscopic evaluation and optical coherence tomography to assess retinal changes.

What are the treatment options for diabetic retinopathy?

Treatment options include monitoring, laser therapy, and managing blood glucose levels to prevent progression of the disease.

Is E09.349 used for acute or chronic conditions?

ICD-10 Code E09.349 is applicable for both acute and chronic conditions related to drug-induced diabetes and its complications.

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