HMSA Payment Transformation Pilot Measure Value Set_CDC (HbA1c In Control 9) Numerator Value Set Name Code Definition Code System

Transcription

1 Numerator HbA1c Tests Hemoglobin; glycosylated (A1C); measurement of glycosylated hemoglobin (HbA1C)* CPT HbA1c Tests Measurement of glycosylated hemoglobin by FDAapproved home device* CPT HbA1c Tests 3044F Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM) CPT HbA1c Tests 3045F Most recent hemoglobin A1c (HbA1c) level % (DM) CPT HbA1c Tests Hemoglobin A1c/Hemoglobin.total in Blood by HPLC* LOINC HbA1c Tests Hemoglobin A1c/Hemoglobin.total in Blood* LOINC HbA1c Tests Hemoglobin A1c/Hemoglobin.total in Blood by Electrophoresis* LOINC *Must also enter HbA1c value as supplemental data to receive numerator credit. September of 20

2 Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT Outpatient CPT September of 20

3 Outpatient CPT Outpatient CPT Outpatient CPT Outpatient G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first HCPCS 12 months of medicare enrollment (G0402) Outpatient G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (G0438) HCPCS Outpatient G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit HCPCS (G0439) Outpatient G0463 Hospital outpatient clinic visit for assessment and management of a patient (G0463) HCPCS Outpatient T1015 Clinic visit/encounter, all-inclusive (T1015) HCPCS Outpatient 510 UBREV Outpatient 511 UBREV Outpatient 512 UBREV Outpatient 513 UBREV Outpatient 514 UBREV Outpatient 515 UBREV Outpatient 516 UBREV Outpatient 517 UBREV Outpatient 519 UBREV Outpatient 520 UBREV Outpatient 521 UBREV Outpatient 522 UBREV Outpatient 523 UBREV Outpatient 526 UBREV Outpatient 527 UBREV Outpatient 528 UBREV Outpatient 529 UBREV Outpatient 982 UBREV Outpatient 983 UBREV Diabetes E10.10 [E10.10] Type 1 diabetes mellitus with ketoacidosis without coma Diabetes E10.11 [E10.11] Type 1 diabetes mellitus with ketoacidosis with coma Diabetes E10.21 [E10.21] Type 1 diabetes mellitus with diabetic nephropathy Diabetes E10.22 [E10.22] Type 1 diabetes mellitus with diabetic chronic kidney disease Diabetes E10.29 [E10.29] Type 1 diabetes mellitus with other diabetic kidney complication September of 20

4 Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E10.36 Diabetes E10.39 Diabetes E10.40 Diabetes E10.41 Diabetes E10.42 Diabetes E10.43 Diabetes E10.44 [E10.311] Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular [E10.319] Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular [E10.321] Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular [E10.329] Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular [E10.331] Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular [E10.339] Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular [E10.341] Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular [E10.349] Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular [E10.351] Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular [E10.359] Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular [E10.36] Type 1 diabetes mellitus with diabetic cataract [E10.39] Type 1 diabetes mellitus with other diabetic ophthalmic complication [E10.40] Type 1 diabetes mellitus with diabetic neuropathy, unspecified [E10.41] Type 1 diabetes mellitus with diabetic mononeuropathy [E10.42] Type 1 diabetes mellitus with diabetic polyneuropathy [E10.43] Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy [E10.44] Type 1 diabetes mellitus with diabetic amyotrophy September of 20

5 Diabetes E10.49 [E10.49] Type 1 diabetes mellitus with other diabetic neurological complication Diabetes E10.51 [E10.51] Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene Diabetes E10.52 [E10.52] Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene Diabetes E10.59 [E10.59] Type 1 diabetes mellitus with other circulatory complications Diabetes E [E10.610] Type 1 diabetes mellitus with diabetic neuropathic arthropathy Diabetes E [E10.618] Type 1 diabetes mellitus with other diabetic arthropathy Diabetes E [E10.620] Type 1 diabetes mellitus with diabetic dermatitis Diabetes E [E10.621] Type 1 diabetes mellitus with foot ulcer Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E [E10.622] Type 1 diabetes mellitus with other skin ulcer [E10.628] Type 1 diabetes mellitus with other skin complications [E10.630] Type 1 diabetes mellitus with periodontal disease [E10.638] Type 1 diabetes mellitus with other oral complications [E10.641] Type 1 diabetes mellitus with hypoglycemia with coma [E10.649] Type 1 diabetes mellitus with hypoglycemia without coma Diabetes E10.65 [E10.65] Type 1 diabetes mellitus with hyperglycemia Diabetes E10.69 Diabetes E10.8 [E10.69] Type 1 diabetes mellitus with other specified complication [E10.8] Type 1 diabetes mellitus with unspecified complications Diabetes E10.9 [E10.9] Type 1 diabetes mellitus without complications Diabetes E11.00 Diabetes E11.01 Diabetes E11.21 Diabetes E11.22 [E11.00] Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) [E11.01] Type 2 diabetes mellitus with hyperosmolarity with coma [E11.21] Type 2 diabetes mellitus with diabetic nephropathy [E11.22] Type 2 diabetes mellitus with diabetic chronic kidney disease September of 20

6 Diabetes E11.29 [E11.29] Type 2 diabetes mellitus with other diabetic kidney complication Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E11.36 Diabetes E11.39 Diabetes E11.40 Diabetes E11.41 Diabetes E11.42 Diabetes E11.43 [E11.311] Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular [E11.319] Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular [E11.321] Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular [E11.329] Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular [E11.331] Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular [E11.339] Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular [E11.341] Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular [E11.349] Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular [E11.351] Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular [E11.359] Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular [E11.36] Type 2 diabetes mellitus with diabetic cataract [E11.39] Type 2 diabetes mellitus with other diabetic ophthalmic complication [E11.40] Type 2 diabetes mellitus with diabetic neuropathy, unspecified [E11.41] Type 2 diabetes mellitus with diabetic mononeuropathy [E11.42] Type 2 diabetes mellitus with diabetic polyneuropathy [E11.43] Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy September of 20

7 Diabetes E11.44 [E11.44] Type 2 diabetes mellitus with diabetic amyotrophy Diabetes E11.49 [E11.49] Type 2 diabetes mellitus with other diabetic neurological complication Diabetes E11.51 [E11.51] Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene Diabetes E11.52 [E11.52] Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene Diabetes E11.59 [E11.59] Type 2 diabetes mellitus with other circulatory complications Diabetes E [E11.610] Type 2 diabetes mellitus with diabetic neuropathic arthropathy Diabetes E [E11.618] Type 2 diabetes mellitus with other diabetic arthropathy Diabetes E [E11.620] Type 2 diabetes mellitus with diabetic dermatitis Diabetes E [E11.621] Type 2 diabetes mellitus with foot ulcer Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E [E11.622] Type 2 diabetes mellitus with other skin ulcer [E11.628] Type 2 diabetes mellitus with other skin complications [E11.630] Type 2 diabetes mellitus with periodontal disease [E11.638] Type 2 diabetes mellitus with other oral complications [E11.641] Type 2 diabetes mellitus with hypoglycemia with coma [E11.649] Type 2 diabetes mellitus with hypoglycemia without coma Diabetes E11.65 [E11.65] Type 2 diabetes mellitus with hyperglycemia Diabetes E11.69 Diabetes E11.8 [E11.69] Type 2 diabetes mellitus with other specified complication [E11.8] Type 2 diabetes mellitus with unspecified complications Diabetes E11.9 [E11.9] Type 2 diabetes mellitus without complications Diabetes E13.00 Diabetes E13.01 Diabetes E13.10 [E13.00] Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemichyperosmolar coma (NKHHC) [E13.01] Other specified diabetes mellitus with hyperosmolarity with coma [E13.10] Other specified diabetes mellitus with ketoacidosis without coma September of 20

8 Diabetes E13.11 [E13.11] Other specified diabetes mellitus with ketoacidosis with coma Diabetes E13.21 [E13.21] Other specified diabetes mellitus with diabetic nephropathy Diabetes E13.22 [E13.22] Other specified diabetes mellitus with diabetic chronic kidney disease Diabetes E13.29 [E13.29] Other specified diabetes mellitus with other diabetic kidney complication Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E [E13.311] Other specified diabetes mellitus with unspecified diabetic retinopathy with macular [E13.319] Other specified diabetes mellitus with unspecified diabetic retinopathy without macular [E13.321] Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular [E13.329] Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular [E13.331] Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular [E13.339] Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular [E13.341] Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular [E13.349] Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular [E13.351] Other specified diabetes mellitus with proliferative diabetic retinopathy with macular Diabetes E Diabetes E13.36 Diabetes E13.39 Diabetes E13.40 [E13.359] Other specified diabetes mellitus with proliferative diabetic retinopathy without macular [E13.36] Other specified diabetes mellitus with diabetic cataract [E13.39] Other specified diabetes mellitus with other diabetic ophthalmic complication [E13.40] Other specified diabetes mellitus with diabetic neuropathy, unspecified September of 20

9 Diabetes E13.41 [E13.41] Other specified diabetes mellitus with diabetic mononeuropathy Diabetes E13.42 [E13.42] Other specified diabetes mellitus with diabetic polyneuropathy Diabetes E13.43 [E13.43] Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy Diabetes E13.44 [E13.44] Other specified diabetes mellitus with diabetic amyotrophy Diabetes E13.49 [E13.49] Other specified diabetes mellitus with other diabetic neurological complication Diabetes E13.51 Diabetes E13.52 Diabetes E13.59 Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E Diabetes E13.65 Diabetes E13.69 Diabetes E13.8 Diabetes E13.9 [E13.51] Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene [E13.52] Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene [E13.59] Other specified diabetes mellitus with other circulatory complications [E13.610] Other specified diabetes mellitus with diabetic neuropathic arthropathy [E13.618] Other specified diabetes mellitus with other diabetic arthropathy [E13.620] Other specified diabetes mellitus with diabetic dermatitis [E13.621] Other specified diabetes mellitus with foot ulcer [E13.622] Other specified diabetes mellitus with other skin ulcer [E13.628] Other specified diabetes mellitus with other skin complications [E13.630] Other specified diabetes mellitus with periodontal disease [E13.638] Other specified diabetes mellitus with other oral complications [E13.641] Other specified diabetes mellitus with hypoglycemia with coma [E13.649] Other specified diabetes mellitus with hypoglycemia without coma [E13.65] Other specified diabetes mellitus with hyperglycemia [E13.69] Other specified diabetes mellitus with other specified complication [E13.8] Other specified diabetes mellitus with unspecified complications [E13.9] Other specified diabetes mellitus without complications September of 20

10 Diabetes O [O24.011] Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester Diabetes O [O24.012] Pre-existing diabetes mellitus, type 1, in pregnancy, second trimester Diabetes O [O24.013] Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester Diabetes O [O24.019] Pre-existing diabetes mellitus, type 1, in pregnancy, unspecified trimester Diabetes O24.02 [O24.02] Pre-existing diabetes mellitus, type 1, in childbirth Diabetes O24.03 [O24.03] Pre-existing diabetes mellitus, type 1, in the puerperium Diabetes O [O24.111] Pre-existing diabetes mellitus, type 2, in pregnancy, first trimester Diabetes O [O24.112] Pre-existing diabetes mellitus, type 2, in pregnancy, second trimester Diabetes O [O24.113] Pre-existing diabetes mellitus, type 2, in pregnancy, third trimester Diabetes O [O24.119] Pre-existing diabetes mellitus, type 2, in pregnancy, unspecified trimester Diabetes O24.12 [O24.12] Pre-existing diabetes mellitus, type 2, in childbirth Diabetes O24.13 [O24.13] Pre-existing diabetes mellitus, type 2, in the puerperium Diabetes O [O24.311] Unspecified pre-existing diabetes mellitus in pregnancy, first trimester Diabetes O [O24.312] Unspecified pre-existing diabetes mellitus in pregnancy, second trimester Diabetes O [O24.313] Unspecified pre-existing diabetes mellitus in pregnancy, third trimester Diabetes O [O24.319] Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester Diabetes O24.32 [O24.32] Unspecified pre-existing diabetes mellitus in childbirth Diabetes O24.33 [O24.33] Unspecified pre-existing diabetes mellitus in the puerperium Diabetes O [O24.811] Other pre-existing diabetes mellitus in pregnancy, first trimester Diabetes O [O24.812] Other pre-existing diabetes mellitus in pregnancy, second trimester Diabetes O [O24.813] Other pre-existing diabetes mellitus in pregnancy, third trimester Diabetes O [O24.819] Other pre-existing diabetes mellitus in pregnancy, unspecified trimester September of 20

11 Diabetes O24.82 [O24.82] Other pre-existing diabetes mellitus in childbirth Diabetes O24.83 [O24.83] Other pre-existing diabetes mellitus in the puerperium Diabetes 250 Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled Diabetes with ketoacidosis, type I [juvenile type], not stated as uncontrolled Diabetes with ketoacidosis, type II or unspecified type, uncontrolled Diabetes with ketoacidosis, type I [juvenile type], uncontrolled Diabetes with hyperosmolarity, type II or unspecified type, not stated as uncontrolled Diabetes with hyperosmolarity, type I [juvenile type], not stated as uncontrolled Diabetes with hyperosmolarity, type II or unspecified type, uncontrolled Diabetes with hyperosmolarity, type I [juvenile type], uncontrolled Diabetes with other coma, type II or unspecified type, not stated as uncontrolled Diabetes with other coma, type I [juvenile type], not stated as uncontrolled Diabetes with other coma, type II or unspecified type, uncontrolled Diabetes with other coma, type I [juvenile type], uncontrolled Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled September of 20

12 Diabetes Diabetes with renal manifestations, type II or unspecified type, uncontrolled Diabetes Diabetes with renal manifestations, type I [juvenile type], uncontrolled Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled Diabetes with ophthalmic manifestations, type I [juvenile type], uncontrolled Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled Diabetes with neurological manifestations, type II or unspecified type, uncontrolled Diabetes with neurological manifestations, type I [juvenile type], uncontrolled Diabetes with peripheral circulatory disorders, type II or unspecified type, not stated as uncontrolled Diabetes with peripheral circulatory disorders, type I [juvenile type], not stated as uncontrolled Diabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled Diabetes with peripheral circulatory disorders, type I [juvenile type], uncontrolled Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled Diabetes with other specified manifestations, type I [juvenile type], not stated as uncontrolled Diabetes Diabetes Diabetes Diabetes with other specified manifestations, type II or unspecified type, uncontrolled Diabetes with other specified manifestations, type I [juvenile type], uncontrolled Diabetes with unspecified complication, type II or unspecified type, not stated as uncontrolled September of 20

13 Diabetes Diabetes with unspecified complication, type I [juvenile type], not stated as uncontrolled Diabetes Diabetes with unspecified complication, type II or unspecified type, uncontrolled Diabetes Diabetes with unspecified complication, type I [juvenile type], uncontrolled Diabetes Polyneuropathy in diabetes Diabetes Background diabetic retinopathy Diabetes Proliferative diabetic retinopathy Diabetes Nonproliferative diabetic retinopathy NOS Diabetes Mild nonproliferative diabetic retinopathy Diabetes Moderate nonproliferative diabetic retinopathy Diabetes Severe nonproliferative diabetic retinopathy Diabetes Diabetic macular Diabetes Diabetic cataract Diabetes 648 Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable Diabetes Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition Diabetes Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication Diabetes Diabetes Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication Pharmacy Data using NCQA HEDIS technical specifications, and as described in the 2016 HMSA program guide will also make patients denominator-eligble for the Comprehensive Diabetes Care (CDC) measures. September of 20

14 Exclusion Diabetes Exclusions E08.00 Diabetes Exclusions E08.01 Diabetes Exclusions E08.10 Diabetes Exclusions E08.11 Diabetes Exclusions E08.21 Diabetes Exclusions E08.22 Diabetes Exclusions E08.29 Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E [E08.00] Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) [E08.01] Diabetes mellitus due to underlying condition with hyperosmolarity with coma [E08.10] Diabetes mellitus due to underlying condition with ketoacidosis without coma [E08.11] Diabetes mellitus due to underlying condition with ketoacidosis with coma [E08.21] Diabetes mellitus due to underlying condition with diabetic nephropathy [E08.22] Diabetes mellitus due to underlying condition with diabetic chronic kidney disease [E08.29] Diabetes mellitus due to underlying condition with other diabetic kidney complication [E08.311] Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular [E08.319] Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular [E08.321] Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular [E08.329] Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular [E08.331] Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular [E08.339] Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular [E08.341] Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular [E08.349] Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular [E08.351] Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular September of 20

15 Exclusion Diabetes Exclusions E [E08.359] Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular Diabetes Exclusions E08.36 [E08.36] Diabetes mellitus due to underlying condition with diabetic cataract Diabetes Exclusions E08.39 Diabetes Exclusions E08.40 Diabetes Exclusions E08.41 Diabetes Exclusions E08.42 Diabetes Exclusions E08.43 Diabetes Exclusions E08.44 Diabetes Exclusions E08.49 Diabetes Exclusions E08.51 Diabetes Exclusions E08.52 Diabetes Exclusions E08.59 Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E [E08.39] Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication [E08.40] Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified [E08.41] Diabetes mellitus due to underlying condition with diabetic mononeuropathy [E08.42] Diabetes mellitus due to underlying condition with diabetic polyneuropathy [E08.43] Diabetes mellitus due to underlying condition with diabetic autonomic (poly)neuropathy [E08.44] Diabetes mellitus due to underlying condition with diabetic amyotrophy [E08.49] Diabetes mellitus due to underlying condition with other diabetic neurological complication [E08.51] Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene [E08.52] Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene [E08.59] Diabetes mellitus due to underlying condition with other circulatory complications [E08.610] Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy [E08.618] Diabetes mellitus due to underlying condition with other diabetic arthropathy [E08.620] Diabetes mellitus due to underlying condition with diabetic dermatitis [E08.621] Diabetes mellitus due to underlying condition with foot ulcer [E08.622] Diabetes mellitus due to underlying condition with other skin ulcer [E08.628] Diabetes mellitus due to underlying condition with other skin complications [E08.630] Diabetes mellitus due to underlying condition with periodontal disease September of 20

16 Exclusion Diabetes Exclusions E [E08.638] Diabetes mellitus due to underlying condition with other oral complications Diabetes Exclusions E [E08.641] Diabetes mellitus due to underlying condition with hypoglycemia with coma Diabetes Exclusions E [E08.649] Diabetes mellitus due to underlying condition with hypoglycemia without coma Diabetes Exclusions E08.65 [E08.65] Diabetes mellitus due to underlying condition with hyperglycemia Diabetes Exclusions E08.69 [E08.69] Diabetes mellitus due to underlying condition with other specified complication Diabetes Exclusions E08.8 [E08.8] Diabetes mellitus due to underlying condition with unspecified complications Diabetes Exclusions E08.9 [E08.9] Diabetes mellitus due to underlying condition without complications Diabetes Exclusions E09.00 Diabetes Exclusions E09.01 Diabetes Exclusions E09.10 Diabetes Exclusions E09.11 Diabetes Exclusions E09.21 Diabetes Exclusions E09.22 Diabetes Exclusions E09.29 Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E [E09.00] Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) [E09.01] Drug or chemical induced diabetes mellitus with hyperosmolarity with coma [E09.10] Drug or chemical induced diabetes mellitus with ketoacidosis without coma [E09.11] Drug or chemical induced diabetes mellitus with ketoacidosis with coma [E09.21] Drug or chemical induced diabetes mellitus with diabetic nephropathy [E09.22] Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease [E09.29] Drug or chemical induced diabetes mellitus with other diabetic kidney complication [E09.311] Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy with macular [E09.319] Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular [E09.321] Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular [E09.329] Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular September of 20

17 Exclusion Diabetes Exclusions E [E09.331] Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular Diabetes Exclusions E [E09.339] Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular Diabetes Exclusions E [E09.341] Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular Diabetes Exclusions E [E09.349] Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular Diabetes Exclusions E [E09.351] Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular [E09.359] Drug or chemical induced diabetes mellitus Diabetes Exclusions E with proliferative diabetic retinopathy without macular Diabetes Exclusions E09.36 [E09.36] Drug or chemical induced diabetes mellitus with diabetic cataract Diabetes Exclusions E09.39 Diabetes Exclusions E09.40 Diabetes Exclusions E09.41 Diabetes Exclusions E09.42 Diabetes Exclusions E09.43 Diabetes Exclusions E09.44 Diabetes Exclusions E09.49 Diabetes Exclusions E09.51 [E09.39] Drug or chemical induced diabetes mellitus with other diabetic ophthalmic complication [E09.40] Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified [E09.41] Drug or chemical induced diabetes mellitus with neurological complications with diabetic mononeuropathy [E09.42] Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy [E09.43] Drug or chemical induced diabetes mellitus with neurological complications with diabetic autonomic (poly)neuropathy [E09.44] Drug or chemical induced diabetes mellitus with neurological complications with diabetic amyotrophy [E09.49] Drug or chemical induced diabetes mellitus with neurological complications with other diabetic neurological complication [E09.51] Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene September of 20

18 Exclusion Diabetes Exclusions E09.52 Diabetes Exclusions E09.59 Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E Diabetes Exclusions E09.65 Diabetes Exclusions E09.69 Diabetes Exclusions E09.8 Diabetes Exclusions E09.9 Diabetes Exclusions O Diabetes Exclusions O Diabetes Exclusions O Diabetes Exclusions O Diabetes Exclusions O Diabetes Exclusions O [E09.52] Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene [E09.59] Drug or chemical induced diabetes mellitus with other circulatory complications [E09.610] Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy [E09.618] Drug or chemical induced diabetes mellitus with other diabetic arthropathy [E09.620] Drug or chemical induced diabetes mellitus with diabetic dermatitis [E09.621] Drug or chemical induced diabetes mellitus with foot ulcer [E09.622] Drug or chemical induced diabetes mellitus with other skin ulcer [E09.628] Drug or chemical induced diabetes mellitus with other skin complications [E09.630] Drug or chemical induced diabetes mellitus with periodontal disease [E09.638] Drug or chemical induced diabetes mellitus with other oral complications [E09.641] Drug or chemical induced diabetes mellitus with hypoglycemia with coma [E09.649] Drug or chemical induced diabetes mellitus with hypoglycemia without coma [E09.65] Drug or chemical induced diabetes mellitus with hyperglycemia [E09.69] Drug or chemical induced diabetes mellitus with other specified complication [E09.8] Drug or chemical induced diabetes mellitus with unspecified complications [E09.9] Drug or chemical induced diabetes mellitus without complications [O24.410] Gestational diabetes mellitus in pregnancy, diet controlled [O24.414] Gestational diabetes mellitus in pregnancy, insulin controlled [O24.419] Gestational diabetes mellitus in pregnancy, unspecified control [O24.420] Gestational diabetes mellitus in childbirth, diet controlled [O24.424] Gestational diabetes mellitus in childbirth, insulin controlled [O24.429] Gestational diabetes mellitus in childbirth, unspecified control September of 20

19 Exclusion Diabetes Exclusions O [O24.430] Gestational diabetes mellitus in the puerperium, diet controlled Diabetes Exclusions O [O24.434] Gestational diabetes mellitus in the puerperium, insulin controlled Diabetes Exclusions O [O24.439] Gestational diabetes mellitus in the puerperium, unspecified control Diabetes Exclusions O [O24.911] Unspecified diabetes mellitus in pregnancy, first trimester Diabetes Exclusions O [O24.912] Unspecified diabetes mellitus in pregnancy, second trimester Diabetes Exclusions O [O24.913] Unspecified diabetes mellitus in pregnancy, third trimester Diabetes Exclusions O [O24.919] Unspecified diabetes mellitus in pregnancy, unspecified trimester Diabetes Exclusions O24.92 [O24.92] Unspecified diabetes mellitus in childbirth Diabetes Exclusions O24.93 Diabetes Exclusions 249 Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions [O24.93] Unspecified diabetes mellitus in the puerperium Secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified Secondary diabetes mellitus without mention of complication, uncontrolled Secondary diabetes mellitus with ketoacidosis, not stated as uncontrolled, or unspecified Secondary diabetes mellitus with ketoacidosis, uncontrolled Secondary diabetes mellitus with hyperosmolarity, not stated as uncontrolled, or unspecified Secondary diabetes mellitus with hyperosmolarity, uncontrolled Secondary diabetes mellitus with other coma, not stated as uncontrolled, or unspecified Secondary diabetes mellitus with other coma, uncontrolled Secondary diabetes mellitus with renal manifestations, not stated as uncontrolled, or unspecified Secondary diabetes mellitus with renal manifestations, uncontrolled Secondary diabetes mellitus with ophthalmic manifestations, not stated as uncontrolled, or unspecified September of 20

20 Exclusion Diabetes Exclusions Secondary diabetes mellitus with ophthalmic manifestations, uncontrolled Diabetes Exclusions Secondary diabetes mellitus with neurological manifestations, not stated as uncontrolled, or unspecified Diabetes Exclusions Secondary diabetes mellitus with neurological manifestations, uncontrolled Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Diabetes Exclusions Secondary diabetes mellitus with peripheral circulatory disorders, not stated as uncontrolled, or unspecified Secondary diabetes mellitus with peripheral circulatory disorders, uncontrolled Secondary diabetes mellitus with other specified manifestations, not stated as uncontrolled, or unspecified Secondary diabetes mellitus with other specified manifestations, uncontrolled Secondary diabetes mellitus with unspecified complication, not stated as uncontrolled, or unspecified Secondary diabetes mellitus with unspecified complication, uncontrolled Other specified disorders of pancreatic internal secretion Abnormal glucose tolerance of mother, unspecified as to episode of care or not applicable Abnormal glucose tolerance of mother, delivered, with or without mention of antepartum condition Abnormal glucose tolerance of mother, delivered, with mention of postpartum complication Diabetes Exclusions Abnormal glucose tolerance of mother, antepartum condition or complication Diabetes Exclusions Abnormal glucose tolerance of mother, postpartum condition or complication Diabetes Exclusions 962 Poisoning by adrenal cortical steroids September of 20