Drug/chem diabetes mellitus with periodontal disease is a complication of diabetes mellitus that arises due to the effects of certain medications or chemical agents on glucose metabolism. This condition is clinically significant as it can lead to severe oral health issues, including gum disease, which can exacerbate diabetes management. The ICD-10 Code E09.630 facilitates accurate diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat patients with this dual diagnosis.
What is ICD-10 Code E09.630 for Drug/chem diabetes mellitus w periodontal disease?
ICD-10 Code E09.630 represents Drug/chem diabetes mellitus with periodontal disease, indicating that the patient has diabetes mellitus influenced by drug or chemical agents, accompanied by periodontal disease. This code should be used in clinical documentation and billing when a patient presents with diabetes complications related to medication use, particularly when periodontal disease is diagnosed.
ICD-10 Code E09.630 – Clinical Definition and Explanation of Drug/chem diabetes mellitus w periodontal disease
Drug/chem diabetes mellitus with periodontal disease is primarily caused by the adverse effects of certain medications on glucose metabolism, leading to poor glycemic control and increased susceptibility to infections, including periodontal disease. This condition necessitates medical attention due to its potential to worsen both diabetes and oral health.
Key Clinical Features:
- Increased risk of periodontal infections due to compromised immune response.
- Symptoms may include gum inflammation, bleeding, and tooth mobility.
- Association with poor glycemic control and elevated HbA1c levels.
- Potential for systemic complications affecting overall health.
ICD-10 Code E09.630 for Drug/chem diabetes mellitus w periodontal disease – SOAP Notes & Clinical Use
ICD-10 Code E09.630 is utilized in SOAP notes to document the presence of drug-induced diabetes mellitus with periodontal disease. It plays a crucial role in capturing the patient's symptoms, assessment findings, and treatment plans, relevant in both acute and chronic care settings.
What Does ICD-10 Code E09.630 for Drug/chem diabetes mellitus w periodontal disease Mean in SOAP Notes?
In SOAP notes, ICD-10 Code E09.630 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of drug-induced diabetes mellitus with periodontal disease. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.
Treatment Options for ICD-10 Code E09.630 – Drug/chem diabetes mellitus w periodontal disease
Management of Drug/chem diabetes mellitus with periodontal disease requires a multifaceted approach, emphasizing the urgency of treatment to prevent further complications.
Antibiotic Therapy:
- Amoxicillin 500 mg orally three times daily for 7-10 days.
- Clindamycin 300 mg orally three times daily for 7-10 days (alternative for penicillin-allergic patients).
- Metronidazole 500 mg orally three times daily for 7-10 days (for anaerobic infections).
Supportive Care:
- Regular dental check-ups and cleanings to manage periodontal health.
- Glycemic control through medication adjustments and dietary modifications.
- Patient education on oral hygiene practices to prevent disease progression.
Infection Control:
- Implement strict hygiene protocols during dental procedures.
- Educate patients on the importance of oral health in diabetes management.
- Monitor for signs of systemic infection and refer to specialists as needed.
How to Document Symptoms of Drug/chem diabetes mellitus w periodontal disease (ICD-10 E09.630) in SOAP Notes
Subjective:
- Patient reports increased gum sensitivity and bleeding.
- History of recent medication changes affecting diabetes management.
- Complaints of bad breath and tooth mobility.
- Denies any fever or systemic symptoms.
Objective:
- Gingival inflammation noted on examination.
- Presence of periodontal pockets greater than 4 mm.
- Elevated blood glucose levels recorded during visit.
- HbA1c level of 8.5% indicating poor glycemic control.
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SOAP Note Guidelines for Diagnosing Drug/chem diabetes mellitus w periodontal disease (ICD-10 Code E09.630)
Assessment:
- Diagnosis: Drug/chem diabetes mellitus with periodontal disease, moderate severity.
- ICD-10 Code: E09.630.
- Contributing factors include recent changes in diabetes medication.
- Patient exhibits signs of periodontal disease requiring intervention.
Plan:
- Initiate antibiotic therapy as per guidelines.
- Schedule dental referral for periodontal evaluation and treatment.
- Educate patient on diabetes management and oral hygiene practices.
- Follow-up in 4-6 weeks to reassess glycemic control and periodontal status.
Treatment & Plan Section for ICD-10 Code E09.630 – Drug/chem diabetes mellitus w periodontal disease
- First-line pharmacologic treatments include antibiotics and adjustments to diabetes medications.
- Non-pharmacologic strategies involve lifestyle modifications, including diet and exercise.
- Monitoring practices should include regular HbA1c testing and dental evaluations.
- Follow-up appointments are essential to assess treatment efficacy and patient adherence.
Using ICD-10 Code E09.630 for Drug/chem diabetes mellitus w periodontal disease in Billing & SOAP Note Compliance
- Select accurate subcodes based on the severity of periodontal disease.
- 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 dental evaluations and diabetes management services.
Related ICD-10 Codes Often Used with Drug/chem diabetes mellitus w periodontal disease
ICD-10 Code E09.630 in Medical Billing and Insurance for Drug/chem diabetes mellitus w periodontal disease
ICD-10 Code E09.630 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Ensure comprehensive documentation of the patient's diabetes management and periodontal condition.
- Use this code in conjunction with relevant dental and medical services for accurate billing.
- Highlight any complications or comorbidities in the patient's chart to support claims.
- Familiarize with payer-specific guidelines for coding and billing related to diabetes and periodontal disease.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, moderate complexity. |
| 41899 | Unlisted procedure, dentofacial structures. |
| 11100 | Biopsy of skin, subcutaneous tissue, or mucous membrane. |
| 41820 | Gingivectomy or gingivoplasty. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code E09.630 for Drug/chem diabetes mellitus w periodontal disease
What are the common symptoms of Drug/chem diabetes mellitus w periodontal disease?
Common symptoms include gum inflammation, bleeding, increased sensitivity, and bad breath. Patients may also experience tooth mobility and discomfort, indicating the need for dental evaluation.
How does this condition affect diabetes management?
Drug/chem diabetes mellitus w periodontal disease can complicate diabetes management by exacerbating glycemic control issues, leading to higher blood glucose levels and increased risk of systemic complications.
When should ICD-10 Code E09.630 be used?
This code should be used when a patient presents with diabetes mellitus influenced by medications or chemicals, accompanied by periodontal disease, ensuring accurate documentation and billing.
What are the treatment options for this condition?
Treatment typically includes antibiotic therapy for periodontal disease, adjustments in diabetes medications, and regular dental care to manage oral health effectively.
