Hello. I am confused on the sequencing of steriod-induced diabetes mellitus due to the prolonged use of corticosteroids. Subsequent visit for the diabetes. The drug was discontinued at the previous visit.
E09.9 and T38.0X5D
E09.9 and T38.0X5D
The answer I am being given is sequence the T38. code first followed by the E09 code.
However, ICD 10 states under E09 Drug or Chemical induced diabetes mellitus:
Use Additional
code for adverse effect, if applicable, to identify drug (T36-T50
with fifth or sixth character 5)
Code First
poisoning due to drug or toxin, if applicable (T36
-T65
with fifth or sixth character 1-4 or 6)
The answer given seems to go against the guidelines.
Is the diabetes a manifestation of the steroid use or an adverse effect?
If it gets sequenced second- why?