DIABETES SCREENING FOR PEOPLE WITH SCHIZOPHRENIA OR BIPOLAR DISORDER WHO ARE USING ANTIPSYCHOTIC MEDICATIONS (SSD)
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- Kelly Hardy
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1 DIABETES SCREENING FOR PEOPLE WITH SCHIZOPHRENIA OR BIPOLAR DISORDER WHO ARE USING ANTIPSYCHOTIC MEDICATIONS (SSD) APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included? STANDARD OF CARE What screening should be done? HEDIS (Administrative) NCQA Accreditation NCQA Rating Kyhealthnow 2019 goal* To identify adult members with schizophrenia or bipolar disorder who were dispensed an antipsychotic and had a diabetes screening test during the measurement year Members age eighteen to sixty-four as of December 31st of the measurement year with Schizophrenia or Bipolar Disorder, excluding those members who have already been diagnosed with diabetes or who did not have any antipsychotic medications dispensed during the measurement year Members diagnosed with Schizophrenia or Bipolar Disorder who are taking antipsychotic medications should be screened for diabetes annually. Table SSD-D: Antipsychotic Medications** Description Miscellaneous antipsychotic agents Phenothiazine antipsychotics Psychotherapeutic combinations Thioxanthenes Long-acting injections Aripiprazole Asenapine Clozapine Haloperidol Iloperidone Loxapine Chlorpromazine Fluphenazine Perphenazine Fluoxetine-olanzapine Thiothixene Fluphenazine decanoate Haloperidol decanoate Prescription Lurisadone Molindone Olanzapine Paliperidone Pimozide Quetiapine Perphenazineamitriptyline Prochlorperazine Olanzapine Paliperidone palmitate Quetiapine fumarate Risperidone Ziprasidone Thioridazine Trifluoperazine Risperidone Aripiprazole NCQA ACCEPTED CODES DOCUMENTATION REQUIREMENTS What Please see code table. Lab results for a diabetes screening test A note indicating the date of the test and the result or finding
2 documentation should be submitted? REFERENCES For more information, please refer to Passport Health Plan s Clinical Practice Guidelines. Additionally, Beacon s Schizophrenia Clinical Practice Guideline and Provider Toolkit are available. Passport also has diabetes disease management*** and behavioral health case management**** programs to provide additional support, education, and care coordination to members. The criteria above are based on standards established under NCQA s HEDIS 2016 Technical Specifications. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). * Governor Steve Beshear has made improving the health and wellness of Kentucky s children, families and workforce one of his highest priorities. To significantly advance the wellbeing of Kentucky s citizens, Governor Beshear announced several health goals for the Commonwealth in February He outlined a number of strategies to help achieve these goals over the next five years, and will continue to add strategies throughout his term. These strategies will be implemented through executive and legislative actions, public-private partnerships and through the success of enrolling Kentuckians in health care coverage. ** If you have questions about medications or our formulary, please visit our website or contact: o Paula Straub, PharmD, Outreach Pharmacist Consultant (contracted) [email protected] or Ph#: *** If you have questions about the diabetes disease management program, please call our Diabetes Disease Manager at , press 0, then press either 8925 or TDD/TTY users may call **** To make a Behavioral Health Case Management referral, call the Behavioral Health Hotline at
3 DIABETES SCREENING FOR PEOPLE WITH SCHIZOPHRENIA OR BIPOLAR DISORDER WHO ARE USING ANTIPSYCHOTIC MEDICATIONS Meet Screening Criteria Schizophrenia Code System Code Definition ICD10CM F20.0 [F20.0] Paranoid schizophrenia ICD10CM F20.1 [F20.1] Disorganized schizophrenia ICD10CM F20.2 [F20.2] Catatonic schizophrenia ICD10CM F20.3 [F20.3] Undifferentiated schizophrenia ICD10CM F20.5 [F20.5] Residual schizophrenia ICD10CM F20.81 [F20.81] Schizophreniform disorder ICD10CM F20.89 [F20.89] Other schizophrenia ICD10CM F20.9 [F20.9] Schizophrenia, unspecified ICD10CM F25.0 [F25.0] Schizoaffective disorder, bipolar type ICD10CM F25.1 [F25.1] Schizoaffective disorder, depressive type ICD10CM F25.8 [F25.8] Other schizoaffective disorders ICD10CM F25.9 [F25.9] Schizoaffective disorder, unspecified ICD9CM Simple type schizophrenia, unspecified ICD9CM Simple type schizophrenia, subchronic ICD9CM Simple type schizophrenia, chronic ICD9CM Simple type schizophrenia, subchronic with acute exacerbation ICD9CM Simple type schizophrenia, chronic with acute exacerbation ICD9CM Simple type schizophrenia, in remission ICD9CM Disorganized type schizophrenia, unspecified ICD9CM Disorganized type schizophrenia, subchronic ICD9CM Disorganized type schizophrenia, chronic ICD9CM Disorganized type schizophrenia, subchronic with acute exacerbation ICD9CM Disorganized type schizophrenia, chronic with acute exacerbation ICD9CM Disorganized type schizophrenia, in remission ICD9CM Catatonic type schizophrenia, unspecified ICD9CM Catatonic type schizophrenia, subchronic ICD9CM Catatonic type schizophrenia, chronic ICD9CM Catatonic type schizophrenia, subchronic with acute exacerbation ICD9CM Catatonic type schizophrenia, chronic with acute exacerbation ICD9CM Catatonic type schizophrenia, in remission ICD9CM Paranoid type schizophrenia, unspecified ICD9CM Paranoid type schizophrenia, subchronic ICD9CM Paranoid type schizophrenia, chronic ICD9CM Paranoid type schizophrenia, subchronic with acute exacerbation ICD9CM Paranoid type schizophrenia, chronic with acute exacerbation ICD9CM Paranoid type schizophrenia, in remission
![5] Residual schizophrenia ICD10CM F20.81 [F20.81] Schizophreniform disorder ICD10CM F20.89 [F20.89] Other schizophrenia ICD10CM F20.9 [F20.9] Schizophrenia, unspecified ICD10CM F25.0 [F25.](/docs-images/49/16206384/images/page_3.jpg "0] Schizoaffective disorder, bipolar type ICD10CM F25.1 [F25.1] Schizoaffective disorder, depressive type ICD10CM F25.8 [F25.8] Other schizoaffective disorders ICD10CM F25.9 [F25.")
4 ICD9CM Schizophreniform disorder, unspecified ICD9CM Schizophreniform disorder, subchronic ICD9CM Schizophreniform disorder, chronic ICD9CM Schizophreniform disorder, subchronic with acute exacerbation ICD9CM Schizophreniform disorder, chronic with acute exacerbation ICD9CM Schizophreniform disorder, in remission ICD9CM Latent schizophrenia, unspecified ICD9CM Latent schizophrenia, subchronic ICD9CM Latent schizophrenia, chronic ICD9CM Latent schizophrenia, subchronic with acute exacerbation ICD9CM Latent schizophrenia, chronic with acute exacerbation ICD9CM Latent schizophrenia, in remission ICD9CM Schizophrenic disorders, residual type, unspecified ICD9CM Schizophrenic disorders, residual type, subchronic ICD9CM Schizophrenic disorders, residual type, chronic ICD9CM Schizophrenic disorders, residual type, subchronic with acute exacerbation ICD9CM Schizophrenic disorders, residual type, chronic with acute exacerbation ICD9CM Schizophrenic disorders, residual type, in remission ICD9CM Schizoaffective disorder, unspecified ICD9CM Schizoaffective disorder, subchronic ICD9CM Schizoaffective disorder, chronic ICD9CM Schizoaffective disorder, subchronic with acute exacerbation ICD9CM Schizoaffective disorder, chronic with acute exacerbation ICD9CM Schizoaffective disorder, in remission ICD9CM Other specified types of schizophrenia, unspecified ICD9CM Other specified types of schizophrenia, subchronic ICD9CM Other specified types of schizophrenia, chronic ICD9CM Other specified types of schizophrenia, subchronic with acute exacerbation ICD9CM Other specified types of schizophrenia, chronic with acute exacerbation ICD9CM Other specified types of schizophrenia, in remission ICD9CM Unspecified schizophrenia, unspecified ICD9CM Unspecified schizophrenia, subchronic ICD9CM Unspecified schizophrenia, chronic ICD9CM Unspecified schizophrenia, subchronic with acute exacerbation ICD9CM Unspecified schizophrenia, chronic with acute exacerbation ICD9CM Unspecified schizophrenia, in remission Bipolar Disorder Code System Code Definition ICD10CM F30.10 [F30.10] Manic episode without psychotic symptoms, unspecified ICD10CM F30.11 [F30.11] Manic episode without psychotic symptoms, mild ICD10CM F30.12 [F30.12] Manic episode without psychotic symptoms, moderate ICD10CM F30.13 [F30.13] Manic episode, severe, without psychotic symptoms ICD10CM F30.2 [F30.2] Manic episode, severe with psychotic symptoms
5 ICD10CM F30.3 [F30.3] Manic episode in partial remission ICD10CM F30.4 [F30.4] Manic episode in full remission ICD10CM F30.8 [F30.8] Other manic episodes ICD10CM F30.9 [F30.9] Manic episode, unspecified ICD10CM F31.0 [F31.0] Bipolar disorder, current episode hypomanic ICD10CM F31.10 [F31.10] Bipolar disorder, current episode manic without psychotic features, unspecified ICD10CM F31.11 [F31.11] Bipolar disorder, current episode manic without psychotic features, mild ICD10CM F31.12 [F31.12] Bipolar disorder, current episode manic without psychotic features, moderate ICD10CM F31.13 [F31.13] Bipolar disorder, current episode manic without psychotic features, severe ICD10CM F31.2 [F31.2] Bipolar disorder, current episode manic severe with psychotic features ICD10CM F31.30 [F31.30] Bipolar disorder, current episode depressed, mild or moderate severity, unspecified ICD10CM F31.31 [F31.31] Bipolar disorder, current episode depressed, mild ICD10CM F31.32 [F31.32] Bipolar disorder, current episode depressed, moderate ICD10CM F31.4 [F31.4] Bipolar disorder, current episode depressed, severe, without psychotic features ICD10CM F31.5 [F31.5] Bipolar disorder, current episode depressed, severe, with psychotic features ICD10CM F31.60 [F31.60] Bipolar disorder, current episode mixed, unspecified ICD10CM F31.61 [F31.61] Bipolar disorder, current episode mixed, mild ICD10CM F31.62 [F31.62] Bipolar disorder, current episode mixed, moderate ICD10CM F31.63 [F31.63] Bipolar disorder, current episode mixed, severe, without psychotic features ICD10CM F31.64 [F31.64] Bipolar disorder, current episode mixed, severe, with psychotic features ICD10CM F31.70 [F31.70] Bipolar disorder, currently in remission, most recent episode unspecified ICD10CM F31.71 [F31.71] Bipolar disorder, in partial remission, most recent episode hypomanic ICD10CM F31.72 [F31.72] Bipolar disorder, in full remission, most recent episode hypomanic ICD10CM F31.73 [F31.73] Bipolar disorder, in partial remission, most recent episode manic ICD10CM F31.74 [F31.74] Bipolar disorder, in full remission, most recent episode manic ICD10CM F31.75 [F31.75] Bipolar disorder, in partial remission, most recent episode depressed ICD10CM F31.76 [F31.76] Bipolar disorder, in full remission, most recent episode depressed ICD10CM F31.77 [F31.77] Bipolar disorder, in partial remission, most recent episode mixed ICD10CM F31.78 [F31.78] Bipolar disorder, in full remission, most recent episode mixed ICD9CM Bipolar I disorder, single manic episode, unspecified ICD9CM Bipolar I disorder, single manic episode, mild ICD9CM Bipolar I disorder, single manic episode, moderate ICD9CM Bipolar I disorder, single manic episode, severe, without mention of psychotic behavior ICD9CM Bipolar I disorder, single manic episode, severe, specified as with psychotic behavior ICD9CM Bipolar I disorder, single manic episode, in partial or unspecified remission
![10] Bipolar disorder, current episode manic without psychotic features, unspecified ICD10CM F31.11 [F31.11] Bipolar disorder, current episode manic without psychotic features, mild ICD10CM F31.](/docs-images/49/16206384/images/page_5.jpg "12 [F31.12] Bipolar disorder, current episode manic without psychotic features, moderate ICD10CM F31.13 [F31.13] Bipolar disorder, current episode manic without psychotic features, severe ICD10CM F31.")
6 ICD9CM Bipolar I disorder, single manic episode, in full remission ICD9CM Manic affective disorder, recurrent episode, unspecified ICD9CM Manic affective disorder, recurrent episode, mild ICD9CM Manic affective disorder, recurrent episode, moderate ICD9CM Manic affective disorder, recurrent episode, severe, without mention of psychotic behavior ICD9CM Manic affective disorder, recurrent episode, severe, specified as with psychotic behavior ICD9CM Manic affective disorder, recurrent episode, in partial or unspecified remission ICD9CM Manic affective disorder, recurrent episode, in full remission ICD9CM Bipolar I disorder, most recent episode (or current) manic, unspecified ICD9CM Bipolar I disorder, most recent episode (or current) manic, mild ICD9CM Bipolar I disorder, most recent episode (or current) manic, moderate ICD9CM Bipolar I disorder, most recent episode (or current) manic, severe, without mention of psychotic behavior ICD9CM Bipolar I disorder, most recent episode (or current) manic, severe, specified as with psychotic behavior ICD9CM Bipolar I disorder, most recent episode (or current) manic, in partial or unspecified remission ICD9CM Bipolar I disorder, most recent episode (or current) manic, in full remission ICD9CM Bipolar I disorder, most recent episode (or current) depressed, unspecified ICD9CM Bipolar I disorder, most recent episode (or current) depressed, mild ICD9CM Bipolar I disorder, most recent episode (or current) depressed, moderate ICD9CM Bipolar I disorder, most recent episode (or current) depressed, severe, without mention of psychotic behavior ICD9CM Bipolar I disorder, most recent episode (or current) depressed, severe, specified as with psychotic behavior ICD9CM Bipolar I disorder, most recent episode (or current) depressed, in partial or unspecified remission ICD9CM Bipolar I disorder, most recent episode (or current) depressed, in full remission ICD9CM Bipolar I disorder, most recent episode (or current) mixed, unspecified ICD9CM Bipolar I disorder, most recent episode (or current) mixed, mild ICD9CM Bipolar I disorder, most recent episode (or current) mixed, moderate ICD9CM Bipolar I disorder, most recent episode (or current) mixed, severe, without mention of psychotic behavior ICD9CM Bipolar I disorder, most recent episode (or current) mixed, severe, specified as with psychotic behavior ICD9CM Bipolar I disorder, most recent episode (or current) mixed, in partial or unspecified remission ICD9CM Bipolar I disorder, most recent episode (or current) mixed, in full remission ICD9CM Bipolar I disorder, most recent episode (or current) unspecified ICD10CM F31.81 [F31.81] Bipolar II disorder ICD10CM F31.89 [F31.89] Other bipolar disorder ICD10CM F31.9 [F31.9] Bipolar disorder, unspecified ICD9CM Bipolar disorder, unspecified ICD9CM Atypical manic disorder
7 ICD9CM Atypical depressive disorder ICD9CM Other bipolar disorders Glucose Tests Code System Code Definition CPT CPT CPT CPT CPT CPT CPT CPT LOINC Glucose [Mass/volume] in Serum or Plasma --10 hours fasting LOINC Glucose [Moles/volume] in Serum or Plasma --1 hour post 100 g glucose PO LOINC Glucose [Moles/volume] in Serum or Plasma --1 hour post 50 g glucose PO LOINC Glucose [Moles/volume] in Serum or Plasma --1 hour post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma --2 hours post 100 g glucose PO LOINC Glucose [Moles/volume] in Serum or Plasma --2 hours post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma --3 hours post 100 g glucose PO LOINC Glucose [Moles/volume] in Serum or Plasma --3 hours post dose glucose LOINC Fasting glucose [Moles/volume] in Serum or Plasma LOINC Glucose [Mass/volume] in Serum or Plasma hours post 0.5 g/kg glucose IV LOINC Glucose [Mass/volume] in Serum or Plasma hours post 100 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma hours post 75 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --1 hour post 0.5 g/kg glucose IV LOINC Glucose [Moles/volume] in Serum or Plasma --2 hours post 75 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --1 hour post 100 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --1 hour post 50 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --1 hour post 75 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --2 hours post 100 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --2 hours post 75 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --3 hours post 100 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --3 hours post 75 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma --12 hours fasting LOINC Fasting glucose [Mass/volume] in Venous blood LOINC Fasting glucose [Mass/volume] in Serum or Plasma LOINC Glucose [Mass/volume] in Serum or Plasma --8 hours fasting LOINC Glucose [Mass/volume] in Serum or Plasma --2 hours post dose glucose LOINC Glucose [Mass/volume] in Serum or Plasma --3 hours post dose glucose LOINC Glucose [Mass/volume] in Serum or Plasma --1 hour post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma hours post dose glucose LOINC Glucose [Mass/volume] in Serum or Plasma hours post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma hours post dose glucose
![Plasma --10 hours fasting LOINC 14753-8 Glucose [Moles/volume] in Serum or Plasma --1 hour post 100 g glucose PO LOINC 14754-6 Glucose [Moles/volume] in Serum or Plasma --1 hour post 50 g glucose PO](/docs-images/49/16206384/images/page_7.jpg "LOINC 14756-1 Glucose [Moles/volume] in Serum or Plasma --1 hour post dose glucose LOINC 14757-9 Glucose [Moles/volume] in Serum or Plasma --2 hours post 100 g glucose PO LOINC 14759-5 Glucose")
8 LOINC Glucose [Moles/volume] in Serum or Plasma hours post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma hours post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma --3 hours post 75 g glucose PO LOINC Glucose [Moles/volume] in Serum or Plasma --75 minutes post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma minutes post dose glucose LOINC Glucose [Mass/volume] in Serum or Plasma --2 hours post 50 g glucose PO LOINC Glucose [Mass/volume] in Blood --2 hours post dose glucose LOINC Glucose [Moles/volume] in Serum or Plasma --1 hour post 75 g glucose PO LOINC Glucose [Moles/volume] in Serum or Plasma hours post 75 g glucose PO LOINC Glucose [Moles/volume] in Serum or Plasma hours post 75 g glucose PO LOINC Glucose [Mass/volume] in Serum or Plasma hours post 75 g glucose PO LOINC Glucose [Mass/volume] in Serum, Plasma or Blood LOINC Glucose [Mass/volume] in Serum or Plasma hours post 100 g glucose PO HbA1c Tests Code System Code Definition CPT CPT CPT 3044F CPT 3045F CPT 3046F LOINC Hemoglobin A1c/Hemoglobin.total in Blood by HPLC LOINC Hemoglobin A1c/Hemoglobin.total in Blood LOINC Hemoglobin A1c/Hemoglobin.total in Blood by Electrophoresis Exclusions Diabetes Code System Code Definition ICD10CM E10.10 [E10.10] Type 1 diabetes mellitus with ketoacidosis without coma ICD10CM E10.11 [E10.11] Type 1 diabetes mellitus with ketoacidosis with coma ICD10CM E10.21 [E10.21] Type 1 diabetes mellitus with diabetic nephropathy ICD10CM E10.22 [E10.22] Type 1 diabetes mellitus with diabetic chronic kidney disease ICD10CM E10.29 [E10.29] Type 1 diabetes mellitus with other diabetic kidney complication ICD10CM E [E10.311] Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema ICD10CM E [E10.319] Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema ICD10CM E [E10.321] Type 1 diabetes mellitus with mild nonproliferative diabetic ICD10CM E [E10.329] Type 1 diabetes mellitus with mild nonproliferative diabetic ICD10CM E [E10.331] Type 1 diabetes mellitus with moderate nonproliferative diabetic ICD10CM E [E10.339] Type 1 diabetes mellitus with moderate nonproliferative diabetic ICD10CM E [E10.341] Type 1 diabetes mellitus with severe nonproliferative diabetic
![LOINC 40286-7 Glucose [Moles/volume] in Serum or Plasma --105 minutes post dose glucose LOINC 41024-1 Glucose [Mass/volume] in Serum or Plasma --2 hours post 50 g glucose PO LOINC 49134-0 Glucose](/docs-images/49/16206384/images/page_8.jpg "[Mass/volume] in Blood --2 hours post dose glucose LOINC 51597-3 Glucose [Moles/volume] in Serum or Plasma --1 hour post 75 g glucose PO LOINC 55351-1 Glucose [Moles/volume] in Serum or Plasma --1.")
9 ICD10CM E [E10.349] Type 1 diabetes mellitus with severe nonproliferative diabetic ICD10CM E [E10.351] Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema ICD10CM E [E10.359] Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema ICD10CM E10.36 [E10.36] Type 1 diabetes mellitus with diabetic cataract ICD10CM E10.39 [E10.39] Type 1 diabetes mellitus with other diabetic ophthalmic complication ICD10CM E10.40 [E10.40] Type 1 diabetes mellitus with diabetic neuropathy, unspecified ICD10CM E10.41 [E10.41] Type 1 diabetes mellitus with diabetic mononeuropathy ICD10CM E10.42 [E10.42] Type 1 diabetes mellitus with diabetic polyneuropathy ICD10CM E10.43 [E10.43] Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy ICD10CM E10.44 [E10.44] Type 1 diabetes mellitus with diabetic amyotrophy ICD10CM E10.49 [E10.49] Type 1 diabetes mellitus with other diabetic neurological complication ICD10CM E10.51 [E10.51] Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene ICD10CM E10.52 [E10.52] Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene ICD10CM E10.59 [E10.59] Type 1 diabetes mellitus with other circulatory complications ICD10CM E [E10.610] Type 1 diabetes mellitus with diabetic neuropathic arthropathy ICD10CM E [E10.618] Type 1 diabetes mellitus with other diabetic arthropathy ICD10CM E [E10.620] Type 1 diabetes mellitus with diabetic dermatitis ICD10CM E [E10.621] Type 1 diabetes mellitus with foot ulcer ICD10CM E [E10.622] Type 1 diabetes mellitus with other skin ulcer ICD10CM E [E10.628] Type 1 diabetes mellitus with other skin complications ICD10CM E [E10.630] Type 1 diabetes mellitus with periodontal disease ICD10CM E [E10.638] Type 1 diabetes mellitus with other oral complications ICD10CM E [E10.641] Type 1 diabetes mellitus with hypoglycemia with coma ICD10CM E [E10.649] Type 1 diabetes mellitus with hypoglycemia without coma ICD10CM E10.65 [E10.65] Type 1 diabetes mellitus with hyperglycemia ICD10CM E10.69 [E10.69] Type 1 diabetes mellitus with other specified complication ICD10CM E10.8 [E10.8] Type 1 diabetes mellitus with unspecified complications ICD10CM E10.9 [E10.9] Type 1 diabetes mellitus without complications ICD10CM E11.00 [E11.00] Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) ICD10CM E11.01 [E11.01] Type 2 diabetes mellitus with hyperosmolarity with coma ICD10CM E11.21 [E11.21] Type 2 diabetes mellitus with diabetic nephropathy ICD10CM E11.22 [E11.22] Type 2 diabetes mellitus with diabetic chronic kidney disease ICD10CM E11.29 [E11.29] Type 2 diabetes mellitus with other diabetic kidney complication ICD10CM E [E11.311] Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema ICD10CM E [E11.319] Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema ICD10CM E [E11.321] Type 2 diabetes mellitus with mild nonproliferative diabetic
![359] Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema ICD10CM E10.36 [E10.36] Type 1 diabetes mellitus with diabetic cataract ICD10CM E10.39 [E10.](/docs-images/49/16206384/images/page_9.jpg "39] Type 1 diabetes mellitus with other diabetic ophthalmic complication ICD10CM E10.40 [E10.40] Type 1 diabetes mellitus with diabetic neuropathy, unspecified ICD10CM E10.41 [E10.")
10 ICD10CM E [E11.329] Type 2 diabetes mellitus with mild nonproliferative diabetic ICD10CM E [E11.331] Type 2 diabetes mellitus with moderate nonproliferative diabetic ICD10CM E [E11.339] Type 2 diabetes mellitus with moderate nonproliferative diabetic ICD10CM E [E11.341] Type 2 diabetes mellitus with severe nonproliferative diabetic ICD10CM E [E11.349] Type 2 diabetes mellitus with severe nonproliferative diabetic ICD10CM E [E11.351] Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema ICD10CM E [E11.359] Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema ICD10CM E11.36 [E11.36] Type 2 diabetes mellitus with diabetic cataract ICD10CM E11.39 [E11.39] Type 2 diabetes mellitus with other diabetic ophthalmic complication ICD10CM E11.40 [E11.40] Type 2 diabetes mellitus with diabetic neuropathy, unspecified ICD10CM E11.41 [E11.41] Type 2 diabetes mellitus with diabetic mononeuropathy ICD10CM E11.42 [E11.42] Type 2 diabetes mellitus with diabetic polyneuropathy ICD10CM E11.43 [E11.43] Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy ICD10CM E11.44 [E11.44] Type 2 diabetes mellitus with diabetic amyotrophy ICD10CM E11.49 [E11.49] Type 2 diabetes mellitus with other diabetic neurological complication ICD10CM E11.51 [E11.51] Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene ICD10CM E11.52 [E11.52] Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene ICD10CM E11.59 [E11.59] Type 2 diabetes mellitus with other circulatory complications ICD10CM E [E11.610] Type 2 diabetes mellitus with diabetic neuropathic arthropathy ICD10CM E [E11.618] Type 2 diabetes mellitus with other diabetic arthropathy ICD10CM E [E11.620] Type 2 diabetes mellitus with diabetic dermatitis ICD10CM E [E11.621] Type 2 diabetes mellitus with foot ulcer ICD10CM E [E11.622] Type 2 diabetes mellitus with other skin ulcer ICD10CM E [E11.628] Type 2 diabetes mellitus with other skin complications ICD10CM E [E11.630] Type 2 diabetes mellitus with periodontal disease ICD10CM E [E11.638] Type 2 diabetes mellitus with other oral complications ICD10CM E [E11.641] Type 2 diabetes mellitus with hypoglycemia with coma ICD10CM E [E11.649] Type 2 diabetes mellitus with hypoglycemia without coma ICD10CM E11.65 [E11.65] Type 2 diabetes mellitus with hyperglycemia ICD10CM E11.69 [E11.69] Type 2 diabetes mellitus with other specified complication ICD10CM E11.8 [E11.8] Type 2 diabetes mellitus with unspecified complications ICD10CM E11.9 [E11.9] Type 2 diabetes mellitus without complications ICD10CM E13.00 [E13.00] Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) ICD10CM E13.01 [E13.01] Other specified diabetes mellitus with hyperosmolarity with coma ICD10CM E13.10 [E13.10] Other specified diabetes mellitus with ketoacidosis without coma
![349] Type 2 diabetes mellitus with severe nonproliferative diabetic ICD10CM E11.351 [E11.351] Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema ICD10CM E11.359 [E11.](/docs-images/49/16206384/images/page_10.jpg "359] Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema ICD10CM E11.36 [E11.36] Type 2 diabetes mellitus with diabetic cataract ICD10CM E11.39 [E11.")
11 ICD10CM E13.11 [E13.11] Other specified diabetes mellitus with ketoacidosis with coma ICD10CM E13.21 [E13.21] Other specified diabetes mellitus with diabetic nephropathy ICD10CM E13.22 [E13.22] Other specified diabetes mellitus with diabetic chronic kidney disease ICD10CM E13.29 [E13.29] Other specified diabetes mellitus with other diabetic kidney complication ICD10CM E [E13.311] Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema ICD10CM E [E13.319] Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema ICD10CM E [E13.321] Other specified diabetes mellitus with mild nonproliferative diabetic ICD10CM E [E13.329] Other specified diabetes mellitus with mild nonproliferative diabetic ICD10CM E [E13.331] Other specified diabetes mellitus with moderate nonproliferative diabetic ICD10CM E [E13.339] Other specified diabetes mellitus with moderate nonproliferative diabetic ICD10CM E [E13.341] Other specified diabetes mellitus with severe nonproliferative diabetic ICD10CM E [E13.349] Other specified diabetes mellitus with severe nonproliferative diabetic ICD10CM E [E13.351] Other specified diabetes mellitus with proliferative diabetic ICD10CM E [E13.359] Other specified diabetes mellitus with proliferative diabetic ICD10CM E13.36 [E13.36] Other specified diabetes mellitus with diabetic cataract ICD10CM E13.39 [E13.39] Other specified diabetes mellitus with other diabetic ophthalmic complication ICD10CM E13.40 [E13.40] Other specified diabetes mellitus with diabetic neuropathy, unspecified ICD10CM E13.41 [E13.41] Other specified diabetes mellitus with diabetic mononeuropathy ICD10CM E13.42 [E13.42] Other specified diabetes mellitus with diabetic polyneuropathy ICD10CM E13.43 [E13.43] Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy ICD10CM E13.44 [E13.44] Other specified diabetes mellitus with diabetic amyotrophy ICD10CM E13.49 [E13.49] Other specified diabetes mellitus with other diabetic neurological complication ICD10CM E13.51 [E13.51] Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene ICD10CM E13.52 [E13.52] Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene ICD10CM E13.59 [E13.59] Other specified diabetes mellitus with other circulatory complications ICD10CM E [E13.610] Other specified diabetes mellitus with diabetic neuropathic arthropathy ICD10CM E [E13.618] Other specified diabetes mellitus with other diabetic arthropathy ICD10CM E [E13.620] Other specified diabetes mellitus with diabetic dermatitis ICD10CM E [E13.621] Other specified diabetes mellitus with foot ulcer ICD10CM E [E13.622] Other specified diabetes mellitus with other skin ulcer
![311] Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema ICD10CM E13.319 [E13.](/docs-images/49/16206384/images/page_11.jpg "319] Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema ICD10CM E13.321 [E13.")
12 ICD10CM E [E13.628] Other specified diabetes mellitus with other skin complications ICD10CM E [E13.630] Other specified diabetes mellitus with periodontal disease ICD10CM E [E13.638] Other specified diabetes mellitus with other oral complications ICD10CM E [E13.641] Other specified diabetes mellitus with hypoglycemia with coma ICD10CM E [E13.649] Other specified diabetes mellitus with hypoglycemia without coma ICD10CM E13.65 [E13.65] Other specified diabetes mellitus with hyperglycemia ICD10CM E13.69 [E13.69] Other specified diabetes mellitus with other specified complication ICD10CM E13.8 [E13.8] Other specified diabetes mellitus with unspecified complications ICD10CM E13.9 [E13.9] Other specified diabetes mellitus without complications ICD10CM O [O24.011] Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester ICD10CM O [O24.012] Pre-existing diabetes mellitus, type 1, in pregnancy, second trimester ICD10CM O [O24.013] Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester ICD10CM O [O24.019] Pre-existing diabetes mellitus, type 1, in pregnancy, unspecified trimester ICD10CM O24.02 [O24.02] Pre-existing diabetes mellitus, type 1, in childbirth ICD10CM O24.03 [O24.03] Pre-existing diabetes mellitus, type 1, in the puerperium ICD10CM O [O24.111] Pre-existing diabetes mellitus, type 2, in pregnancy, first trimester ICD10CM O [O24.112] Pre-existing diabetes mellitus, type 2, in pregnancy, second trimester ICD10CM O [O24.113] Pre-existing diabetes mellitus, type 2, in pregnancy, third trimester ICD10CM O [O24.119] Pre-existing diabetes mellitus, type 2, in pregnancy, unspecified trimester ICD10CM O24.12 [O24.12] Pre-existing diabetes mellitus, type 2, in childbirth ICD10CM O24.13 [O24.13] Pre-existing diabetes mellitus, type 2, in the puerperium ICD10CM O [O24.311] Unspecified pre-existing diabetes mellitus in pregnancy, first trimester ICD10CM O [O24.312] Unspecified pre-existing diabetes mellitus in pregnancy, second trimester ICD10CM O [O24.313] Unspecified pre-existing diabetes mellitus in pregnancy, third trimester ICD10CM O [O24.319] Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester ICD10CM O24.32 [O24.32] Unspecified pre-existing diabetes mellitus in childbirth ICD10CM O24.33 [O24.33] Unspecified pre-existing diabetes mellitus in the puerperium ICD10CM O [O24.811] Other pre-existing diabetes mellitus in pregnancy, first trimester ICD10CM O [O24.812] Other pre-existing diabetes mellitus in pregnancy, second trimester ICD10CM O [O24.813] Other pre-existing diabetes mellitus in pregnancy, third trimester ICD10CM O [O24.819] Other pre-existing diabetes mellitus in pregnancy, unspecified trimester ICD10CM O24.82 [O24.82] Other pre-existing diabetes mellitus in childbirth ICD10CM O24.83 [O24.83] Other pre-existing diabetes mellitus in the puerperium ICD9CM Diabetes mellitus without mention of complication, type II or unspecified type, not stated as ICD9CM Diabetes mellitus without mention of complication, type I [juvenile type], not stated as ICD9CM Diabetes mellitus without mention of complication, type II or unspecified type,
![649] Other specified diabetes mellitus with hypoglycemia without coma ICD10CM E13.65 [E13.65] Other specified diabetes mellitus with hyperglycemia ICD10CM E13.69 [E13.](/docs-images/49/16206384/images/page_12.jpg "69] Other specified diabetes mellitus with other specified complication ICD10CM E13.8 [E13.8] Other specified diabetes mellitus with unspecified complications ICD10CM E13.9 [E13.")
13 ICD9CM Diabetes mellitus without mention of complication, type I [juvenile type], ICD9CM Diabetes with ketoacidosis, type II or unspecified type, not stated as ICD9CM Diabetes with ketoacidosis, type I [juvenile type], not stated as ICD9CM Diabetes with ketoacidosis, type II or unspecified type, ICD9CM Diabetes with ketoacidosis, type I [juvenile type], ICD9CM Diabetes with hyperosmolarity, type II or unspecified type, not stated as ICD9CM Diabetes with hyperosmolarity, type I [juvenile type], not stated as ICD9CM Diabetes with hyperosmolarity, type II or unspecified type, ICD9CM Diabetes with hyperosmolarity, type I [juvenile type], ICD9CM Diabetes with other coma, type II or unspecified type, not stated as ICD9CM Diabetes with other coma, type I [juvenile type], not stated as ICD9CM Diabetes with other coma, type II or unspecified type, ICD9CM Diabetes with other coma, type I [juvenile type], ICD9CM Diabetes with renal manifestations, type II or unspecified type, not stated as ICD9CM Diabetes with renal manifestations, type I [juvenile type], not stated as ICD9CM Diabetes with renal manifestations, type II or unspecified type, ICD9CM Diabetes with renal manifestations, type I [juvenile type], ICD9CM Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as ICD9CM Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as ICD9CM Diabetes with ophthalmic manifestations, type II or unspecified type, ICD9CM Diabetes with ophthalmic manifestations, type I [juvenile type], ICD9CM Diabetes with neurological manifestations, type II or unspecified type, not stated as ICD9CM Diabetes with neurological manifestations, type I [juvenile type], not stated as ICD9CM Diabetes with neurological manifestations, type II or unspecified type, ICD9CM Diabetes with neurological manifestations, type I [juvenile type], ICD9CM Diabetes with peripheral circulatory disorders, type II or unspecified type, not stated as ICD9CM Diabetes with peripheral circulatory disorders, type I [juvenile type], not stated as ICD9CM Diabetes with peripheral circulatory disorders, type II or unspecified type, ICD9CM Diabetes with peripheral circulatory disorders, type I [juvenile type], ICD9CM Diabetes with other specified manifestations, type II or unspecified type, not stated as ICD9CM Diabetes with other specified manifestations, type I [juvenile type], not stated as
![13 Diabetes with ketoacidosis, type I [juvenile type], ICD9CM 250.20 Diabetes with hyperosmolarity, type II or unspecified type, not stated as ICD9CM 250.](/docs-images/49/16206384/images/page_13.jpg "21 Diabetes with hyperosmolarity, type I [juvenile type], not stated as ICD9CM 250.22 Diabetes with hyperosmolarity, type II or unspecified type, ICD9CM 250.")
14 ICD9CM Diabetes with other specified manifestations, type II or unspecified type, ICD9CM Diabetes with other specified manifestations, type I [juvenile type], ICD9CM Diabetes with unspecified complication, type II or unspecified type, not stated as ICD9CM Diabetes with unspecified complication, type I [juvenile type], not stated as ICD9CM Diabetes with unspecified complication, type II or unspecified type, ICD9CM Diabetes with unspecified complication, type I [juvenile type], ICD9CM Polyneuropathy in diabetes ICD9CM Background diabetic retinopathy ICD9CM Proliferative diabetic retinopathy ICD9CM Nonproliferative diabetic retinopathy NOS ICD9CM Mild nonproliferative diabetic retinopathy ICD9CM Moderate nonproliferative diabetic retinopathy ICD9CM Severe nonproliferative diabetic retinopathy ICD9CM Diabetic macular edema ICD9CM Diabetic cataract ICD9CM Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, unspecified as to episode of care or not applicable ICD9CM Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition ICD9CM Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication ICD9CM Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication ICD9CM Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication
![92 Diabetes with unspecified complication, type II or unspecified type, ICD9CM 250.93 Diabetes with unspecified complication, type I [juvenile type], ICD9CM 357.](/docs-images/49/16206384/images/page_14.jpg "2 Polyneuropathy in diabetes ICD9CM 362.01 Background diabetic retinopathy ICD9CM 362.02 Proliferative diabetic retinopathy ICD9CM 362.03 Nonproliferative diabetic retinopathy NOS ICD9CM 362.")
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