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E09.9
ICD-10-CM
Steroid-Induced Hyperglycemia

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

Glucocorticoid-Induced Hyperglycemia
Steroid Diabetes

Diagnosis Snapshot

Key Facts
  • Definition : High blood sugar caused by steroid medication.
  • Clinical Signs : Increased thirst, frequent urination, blurred vision, fatigue.
  • Common Settings : Inpatient, outpatient, emergency room, ICU.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC E09.9 Coding
E09-E13

Diabetes mellitus due to

Diabetes caused by underlying conditions or drugs.

E16-E16.9

Other specified diabetes mellitus

Diabetes not classified elsewhere, including drug-induced.

R73.03

Abnormality of glucose tolerance test

Describes abnormal glucose levels discovered during testing.

Code-Specific Guidance

Decision Tree for

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.

Code Comparison

Related Codes Comparison

When to use each related code

Description
High blood sugar due to steroids.
High blood sugar, cause unknown.
Drug-induced hyperglycemia (non-steroid)

Documentation Best Practices

Documentation Checklist
  • Document elevated blood glucose levels with timing related to steroid initiation.
  • Record type, dose, and duration of steroid therapy.
  • Note any pre-existing diabetes or hyperglycemia history.
  • Assess and document symptoms of hyperglycemia (e.g., polyuria, polydipsia).
  • Document response to blood glucose management interventions.

Coding and Audit Risks

Common Risks
  • Unspecified Diabetes Coding

    Coding E09.9 (Drug or chemical induced diabetes mellitus without complications) when a more specific code for steroid-induced hyperglycemia exists (E09.8).

  • Missing Steroid Documentation

    Insufficient documentation linking the hyperglycemia specifically to steroid use, leading to inaccurate coding and potential underreporting.

  • Conflicting Diagnoses

    Concurrent diagnoses of pre-existing diabetes and steroid-induced hyperglycemia may create confusion in proper code assignment and impact quality metrics.

Mitigation Tips

Best Practices
  • Document steroid type, dose, and duration for accurate ICD-10-CM E09.9 coding.
  • Monitor blood glucose regularly during steroid therapy for early detection and CDI.
  • Patient education on hyperglycemia symptoms improves compliance and reduces complications.
  • Adjust insulin or other diabetic medications as needed per clinical guidelines.
  • Taper steroids when clinically feasible to minimize hyperglycemia risk and optimize coding.

Clinical Decision Support

Checklist
  • 1. Verify steroid use: type, dose, duration.
  • 2. Check fasting/random blood glucose levels.
  • 3. Review HbA1c if steroid use prolonged.
  • 4. Assess patient for hyperglycemic symptoms.
  • 5. Document diagnosis and management plan.

Reimbursement and Quality Metrics

Impact Summary
  • Steroid-Induced Hyperglycemia: Reimbursement and Quality Metrics Impact Summary
  • Keywords: Steroid induced hyperglycemia ICD-10, E11.65, diabetes coding guidelines, hospital quality reporting, medical billing compliance, POAGlycemia diagnosis, inpatient coding, DRG assignment, quality indicators, value-based care, HCC coding
  • Impact 1: Higher resource utilization, potentially increased reimbursement.
  • Impact 2: Impacts quality metrics related to glycemic control and patient safety.
  • Impact 3: Requires accurate coding (E11.65) to reflect severity and justify resource use.
  • Impact 4: Affects hospital reporting on complications and potentially value-based payments.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Document steroid use, blood glucose levels
  • Code E09.9, underlying cause
  • Query physician if unclear
  • Consider T38.1x5A if adverse effect
  • Review guidelines for specificity

Documentation Templates

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.