Drug or chemical-induced diabetes mellitus with other skin complications refers to diabetes that arises due to the use of certain medications or chemicals, leading to various skin issues. This condition is clinically significant as it can complicate diabetes management and increase the risk of infections and other skin disorders. The ICD-10 Code E09.628 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 E09.628 for Drug/chem diabetes mellitus w oth skin complications?
ICD-10 Code E09.628 represents drug or chemical-induced diabetes mellitus with other skin complications. This code is used when diabetes is caused by medications or chemicals, resulting in skin-related issues such as infections, ulcers, or dermatitis. It should be applied in clinical documentation and billing when these specific complications are present in patients with drug-induced diabetes.
ICD-10 Code E09.628 – Clinical Definition and Explanation of Drug/chem diabetes mellitus w oth skin complications
Drug or chemical-induced diabetes mellitus with other skin complications occurs when certain medications or chemicals disrupt normal glucose metabolism, leading to diabetes and associated skin problems. This condition requires medical attention due to the potential for serious complications, including infections and delayed wound healing.
Key Clinical Features:
- Skin infections such as cellulitis or abscesses.
- Diabetic dermopathy presenting as skin lesions.
- Delayed wound healing due to impaired glucose control.
- Increased risk of pressure ulcers in immobile patients.
ICD-10 Code E09.628 for Drug/chem diabetes mellitus w oth skin complications – SOAP Notes & Clinical Use
ICD-10 Code E09.628 is utilized in SOAP notes to document the presence of drug-induced diabetes with skin complications. 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 E09.628 for Drug/chem diabetes mellitus w oth skin complications Mean in SOAP Notes?
In SOAP notes, ICD-10 Code E09.628 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of drug-induced diabetes with skin complications. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code E09.628 – Drug/chem diabetes mellitus w oth skin complications
Management of drug or chemical-induced diabetes mellitus with skin complications requires a multifaceted approach, including pharmacological and supportive care.
Antibiotic Therapy:
- First-line: Cephalexin 500 mg orally every 6 hours for 7-10 days.
- Alternative: Clindamycin 300 mg orally every 6 hours for 7-10 days.
- Consideration for IV antibiotics in severe cases.
Supportive Care:
- Regular monitoring of blood glucose levels.
- Wound care management to prevent infections.
- Patient education on skin care and diabetes management.
Infection Control:
- Strict hand hygiene practices.
- Use of personal protective equipment (PPE) when necessary.
- Isolation precautions for infected patients.
How to Document Symptoms of Drug/chem diabetes mellitus w oth skin complications (ICD-10 E09.628) in SOAP Notes
Subjective:
- Patient reports increased thirst and frequent urination.
- History of recent medication changes leading to glucose fluctuations.
- Complaints of skin lesions and discomfort.
Objective:
- Skin examination reveals erythema and swelling.
- Blood glucose levels recorded at 250 mg/dL.
- Vital signs: BP 130/85 mmHg, HR 78 bpm.
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SOAP Note Guidelines for Diagnosing Drug/chem diabetes mellitus w oth skin complications (ICD-10 Code E09.628)
Assessment:
- Diagnosis: Drug-induced diabetes mellitus with skin complications, moderate severity.
- ICD-10 subcode: E09.628.
- Contributing factors: Recent use of corticosteroids.
Plan:
- Initiate insulin therapy to manage blood glucose levels.
- Educate patient on skin care and diabetes management.
- Schedule follow-up in 2 weeks to monitor progress.
Treatment & Plan Section for ICD-10 Code E09.628 – Drug/chem diabetes mellitus w oth skin complications
- First-line pharmacologic treatments include insulin therapy and oral hypoglycemics.
- Non-pharmacologic strategies involve dietary modifications and regular exercise.
- Monitoring practices include regular blood glucose checks and skin assessments.
- Follow-up appointments should be scheduled to evaluate treatment efficacy and adjust as needed.
Using ICD-10 Code E09.628 for Drug/chem diabetes mellitus w oth skin complications in Billing & SOAP Note Compliance
- Select accurate subcodes based on the severity of skin complications.
- 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 should reflect the services provided for diabetes management.
Related ICD-10 Codes Often Used with Drug/chem diabetes mellitus w oth skin complications
ICD-10 Code E09.628 in Medical Billing and Insurance for Drug/chem diabetes mellitus w oth skin complications
ICD-10 Code E09.628 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure documentation includes specific details about skin complications.
- Use this code in settings where drug-induced diabetes is diagnosed.
- Highlight key chart elements such as medication history and skin assessments.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, moderate complexity. |
| 36415 | Collection of venous blood by venipuncture. |
| 11000 | Debridement of skin, subcutaneous tissue, and muscle. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code E09.628 for Drug/chem diabetes mellitus w oth skin complications
What medications can cause drug-induced diabetes?
Medications such as corticosteroids, antipsychotics, and certain diuretics can lead to drug-induced diabetes by affecting insulin sensitivity or secretion.
How are skin complications managed in patients with drug-induced diabetes?
Management includes regular skin assessments, appropriate wound care, and controlling blood glucose levels to promote healing and prevent infections.
Is drug-induced diabetes reversible?
In many cases, drug-induced diabetes can be reversible if the offending medication is discontinued and blood glucose levels are managed effectively.
When should I use ICD-10 Code E09.628?
Use ICD-10 Code E09.628 when documenting cases of diabetes mellitus caused by drugs or chemicals, specifically when associated with skin complications.
