ICD-10 Code E09.621 | Drug or chemical induced diabetes mellitus with foot ulcer Symptoms, Diagnosis, Billing

Drug or chemical induced diabetes mellitus with foot ulcer is a condition resulting from the adverse effects of certain medications or chemicals that lead to diabetes mellitus, characterized by the presence of a foot ulcer. This condition is clinically significant as it can lead to severe complications, including infections and amputations. The ICD-10 Code E09.621 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.

What is ICD-10 Code E09.621 for Drug or chemical induced diabetes mellitus with foot ulcer?

ICD-10 Code E09.621 represents Drug or chemical induced diabetes mellitus with foot ulcer, a condition where diabetes is caused by the use of certain drugs or chemicals, leading to complications such as foot ulcers. This code should be used in clinical documentation and billing when a patient presents with diabetes mellitus linked to drug exposure, particularly when foot ulcers are present, ensuring proper treatment and reimbursement.

ICD-10 Code E09.621 – Clinical Definition and Explanation of Drug or chemical induced diabetes mellitus with foot ulcer

Drug or chemical induced diabetes mellitus with foot ulcer occurs when certain medications or toxic substances disrupt normal glucose metabolism, resulting in diabetes. This condition can progress to serious complications, including foot ulcers, which require immediate medical attention to prevent further morbidity.

Key Clinical Features:

• History of exposure to drugs or chemicals known to induce diabetes.
• Presence of foot ulcers, which may be chronic or non-healing.
• Symptoms of hyperglycemia, such as increased thirst and urination.
• Potential for secondary infections due to foot ulcers.

ICD-10 Code E09.621 for Drug or chemical induced diabetes mellitus with foot ulcer – SOAP Notes & Clinical Use

ICD-10 Code E09.621 is utilized in SOAP notes to document the patient's symptoms, assessment, and treatment plan for drug or chemical induced diabetes mellitus with foot ulcer. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code E09.621 for Drug or chemical induced diabetes mellitus with foot ulcer Mean in SOAP Notes?

In SOAP notes, ICD-10 Code E09.621 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of drug or chemical induced diabetes mellitus with foot ulcer. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code E09.621 – Drug or chemical induced diabetes mellitus with foot ulcer

Management of Drug or chemical induced diabetes mellitus with foot ulcer requires prompt intervention to prevent complications. Treatment may include specific medications and supportive care.

Antibiotic Therapy:

• First-line: Amoxicillin-clavulanate 875/125 mg orally twice daily for 7-14 days.
• Alternative: Clindamycin 300 mg orally three times daily for 7-14 days.
• Consideration of culture and sensitivity for targeted therapy.

Supportive Care:

• Regular monitoring of blood glucose levels.
• Wound care management for foot ulcers.
• Patient education on diabetes management and foot care.

Infection Control:

• Strict adherence to hand hygiene practices.
• Use of sterile techniques during wound care.
• Monitoring for signs of systemic infection.

How to Document Symptoms of Drug or chemical induced diabetes mellitus with foot ulcer (ICD-10 E09.621) in SOAP Notes

Subjective:

• Patient reports increased thirst and frequent urination.
• History of recent medication changes or exposure to chemicals.
• Complaints of pain and discomfort in the foot ulcer area.

Objective:

• Vital signs: Blood pressure 130/80 mmHg, heart rate 80 bpm.
• Physical exam reveals a non-healing foot ulcer on the left foot.
• Laboratory results show elevated blood glucose levels.

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SOAP Note Guidelines for Diagnosing Drug or chemical induced diabetes mellitus with foot ulcer (ICD-10 Code E09.621)

Assessment:

• Diagnosis: Drug or chemical induced diabetes mellitus with foot ulcer, moderate severity.
• ICD-10 subcode: E09.621.
• Contributing factors: Recent use of corticosteroids.

Plan:

• Initiate pharmacologic treatment with metformin as appropriate.
• Educate patient on foot care and diabetes management.
• Schedule follow-up in 2 weeks to monitor ulcer healing and glucose levels.

Treatment & Plan Section for ICD-10 Code E09.621 – Drug or chemical induced diabetes mellitus with foot ulcer

• First-line pharmacologic treatment includes metformin or insulin therapy.
• Non-pharmacologic strategies involve dietary modifications and regular exercise.
• Monitoring includes regular foot examinations and blood glucose tracking.
• Follow-up appointments to assess ulcer healing and diabetes control.

Using ICD-10 Code E09.621 for Drug or chemical induced diabetes mellitus with foot ulcer in Billing & SOAP Note Compliance

• Select accurate subcodes based on the severity of the condition.
• Document symptoms clearly under Subjective (S) and Objective (O) in SOAP notes.
• Ensure treatment plans align with clinical guidelines to support justified billing.
• Commonly billed CPT codes include those for diabetes management and wound care.

Related ICD-10 Codes Often Used with Drug or chemical induced diabetes mellitus with foot ulcer

• E08.621 – Diabetes mellitus due to underlying condition with foot ulcer

ICD-10 Code E09.621 in Medical Billing and Insurance for Drug or chemical induced diabetes mellitus with foot ulcer

ICD-10 Code E09.621 is crucial for accurate billing in hospital, ER, or infectious disease care settings.

Billing Notes:

• Ensure documentation includes the cause of diabetes and presence of foot ulcer.
• Use this code in conjunction with appropriate CPT codes for comprehensive billing.
• Maintain clear records of patient history and treatment plans to support claims.

Common CPT Pairings: