Find information on steroid-induced hyperglycemia, including diagnosis, treatment, and management. Learn about clinical documentation requirements for steroid-induced hyperglycemia, ICD-10 codes (E09.9, E13.9), and proper medical coding guidelines. Explore resources for healthcare professionals on managing hyperglycemia caused by steroids, monitoring blood glucose levels, and patient education. Understand the connection between corticosteroid use and elevated blood sugar, and access helpful information for clinicians and patients dealing with this condition.
Also known as
Diabetes mellitus due to
Diabetes caused by underlying conditions or drugs.
Other specified diabetes mellitus
Diabetes not classified elsewhere, including drug-induced.
Abnormality of glucose tolerance test
Describes abnormal glucose levels discovered during testing.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is hyperglycemia documented as due to steroid use?
Yes
Is it due to underlying diabetes?
No
Do NOT code as steroid-induced. Code the underlying cause of hyperglycemia.
When to use each related code
Description |
---|
High blood sugar due to steroids. |
High blood sugar, cause unknown. |
Drug-induced hyperglycemia (non-steroid) |
Coding E09.9 (Drug or chemical induced diabetes mellitus without complications) when a more specific code for steroid-induced hyperglycemia exists (E09.8).
Insufficient documentation linking the hyperglycemia specifically to steroid use, leading to inaccurate coding and potential underreporting.
Concurrent diagnoses of pre-existing diabetes and steroid-induced hyperglycemia may create confusion in proper code assignment and impact quality metrics.
Patient presents with steroid-induced hyperglycemia secondary to prescribed glucocorticoid therapy. The patient reports symptoms consistent with hyperglycemia, including polyuria, polydipsia, and polyphagia. Onset of these symptoms correlates temporally with the initiation of steroid treatment for [Underlying condition requiring steroid treatment - e.g., asthma exacerbation, rheumatoid arthritis flare]. Current medications include [List all current medications including dose, route, and frequency]. Past medical history significant for [Relevant past medical history, e.g., pre-diabetes, type 2 diabetes mellitus, gestational diabetes]. Family history includes [Relevant family history, e.g., diabetes, hypertension, hyperlipidemia]. Physical examination reveals [Relevant physical exam findings, e.g., dry mucous membranes]. Laboratory findings show elevated blood glucose levels [Specific blood glucose value and timing - e.g., fasting blood glucose of 140 mg/dL]. HbA1c is [HbA1c value]. Assessment: Steroid-induced hyperglycemia. Plan: Close monitoring of blood glucose levels. Patient education regarding signs and symptoms of hyperglycemia and appropriate self-management strategies. Consideration for adjustment of steroid dose if clinically feasible in consultation with the prescribing physician for the underlying condition. Initiation of or adjustment to antihyperglycemic therapy will be considered based on blood glucose trends and patient-specific factors. Dietary counseling recommended. Follow-up scheduled in [Timeframe - e.g., one week] to reassess blood glucose control and adjust management as needed. ICD-10 code: E09.9 (Drug or chemical induced diabetes mellitus without complications) and corresponding ICD-10 codes for the underlying condition being treated with steroids.