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Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)

HEDIS Measure

Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)

Line of business: Medicaid

Data Collection Method: Administrative

Measure Description

The percentage of members 18–64 years of age with schizophrenia, schizoaffective disorder or bipolar disorder, who were dispensed an antipsychotic medication and had a diabetes screening test during the measurement year.

Numerator Compliance

A glucose test or an HbA1c test performed during the measurement year.

Best Practices

  • Order a diabetes screening test every year and build care gap “alerts” in your electronic medical record
  • Follow up with patients to discuss and educate on lab results
  • Coordinate care with patients' other providers
  • Outreach patients who cancel appointments and reschedule them as soon as possible
  • Encourage shared decision-making by educating patients and caregivers about increased risk of diabetes with antipsychotic medications
  • Discuss with member the Importance of screening for diabetes
  • Educate the member on symptoms of new-onset diabetes

Quality Value Set Directory Coding Tips

Glucose Lab Test

ICD10CM

  • L89.000
  • L89.001
  • L89.002
  • L89.003
  • L89.004
  • L89.006
  • L89.009
  • L89.010
  • L89.011
  • L89.012
  • L89.013
  • L89.014
  • L89.016
  • L89.019
  • L89.020
  • L89.021
  • L89.022
  • L89.023
  • L89.024
  • L89.026
  • L89.029
  • L89.100
  • L89.101
  • L89.102
  • L89.103
  • L89.104
  • L89.106
  • L89.109
  • L89.110
  • L89.111
  • L89.112
  • L89.113
  • L89.114
  • L89.116
  • L89.119
  • L89.120
  • L89.121
  • L89.122
  • L89.123
  • L89.124
  • L89.126
  • L89.129
  • L89.130
  • L89.131
  • L89.132
  • L89.133
  • L89.134
  • L89.136
  • L89.139
  • L89.140
  • L89.141
  • L89.142
  • L89.143
  • L89.144
  • L89.146
  • L89.149
  • L89.150
  • L89.151
  • L89.152
  • L89.153
  • L89.154
  • L89.156
  • L89.159
  • L89.200
  • L89.201
  • L89.202
  • L89.203
  • L89.204
  • L89.206
  • L89.209
  • L89.210
  • L89.211
  • L89.212
  • L89.213
  • L89.214
  • L89.216
  • L89.219
  • L89.220
  • L89.221
  • L89.222
  • L89.223
  • L89.224
  • L89.226
  • L89.229
  • L89.300
  • L89.301
  • L89.302
  • L89.303
  • L89.304
  • L89.306
  • L89.309
  • L89.310
  • L89.311
  • L89.312
  • L89.313
  • L89.314
  • L89.316
  • L89.319
  • L89.320
  • L89.321
  • L89.322
  • L89.323
  • L89.324
  • L89.326
  • L89.329
  • L89.40
  • L89.41
  • L89.42
  • L89.43
  • L89.44
  • L89.45
  • L89.46
  • L89.500
  • L89.501
  • L89.502
  • L89.503
  • L89.504
  • L89.506
  • L89.509
  • L89.510
  • L89.511
  • L89.512
  • L89.513
  • L89.514
  • L89.516
  • L89.519
  • L89.520
  • L89.521
  • L89.522
  • L89.523
  • L89.524
  • L89.526
  • L89.529
  • L89.600
  • L89.601
  • L89.602
  • L89.603
  • L89.604
  • L89.606
  • L89.609
  • L89.610
  • L89.611
  • L89.612
  • L89.613
  • L89.614
  • L89.616
  • L89.619
  • L89.620
  • L89.621
  • L89.622
  • L89.623
  • L89.624
  • L89.626
  • L89.629
  • L89.810
  • L89.811
  • L89.812
  • L89.813
  • L89.814
  • L89.816
  • L89.819
  • L89.890
  • L89.891
  • L89.892
  • L89.893
  • L89.894
  • L89.896
  • L89.899
  • L89.90
  • L89.91
  • L89.92
  • L89.93
  • L89.94
  • L89.95
  • L89.96
  • M62.50
  • M62.81
  • M62.84
  • W01.0XXA
  • W01.0XXD
  • W01.0XXS
  • W01.10XA
  • W01.10XD
  • W01.10XS
  • W01.110A
  • W01.110D
  • W01.110S
  • W01.111A
  • W01.111D
  • W01.111S
  • W01.118A
  • W01.118D
  • W01.118S
  • W01.119A
  • W01.119D
  • W01.119S
  • W01.190A
  • W01.190D
  • W01.190S
  • W01.198A
  • W01.198D
  • W01.198S
  • W06.XXXA
  • W06.XXXD
  • W06.XXXS
  • W07.XXXA
  • W07.XXXD
  • W07.XXXS
  • W08.XXXA
  • W08.XXXD
  • W08.XXXS
  • W10.0XXA
  • W10.0XXD
  • W10.0XXS
  • W10.1XXA
  • W10.1XXD
  • W10.1XXS
  • W10.2XXA
  • W10.2XXD
  • W10.2XXS
  • W10.8XXA
  • W10.8XXD
  • W10.8XXS
  • W10.9XXA
  • W10.9XXD
  • W10.9XXS
  • W18.00XA
  • W18.00XD
  • W18.00XS
  • W18.02XA
  • W18.02XD
  • W18.02XS
  • W18.09XA
  • W18.09XD
  • W18.09XS
  • W18.11XA
  • W18.11XD
  • W18.11XS
  • W18.12XA
  • W18.12XD
  • W18.12XS
  • W18.2XXA

ICD10CM

  • W18.2XXD
  • W18.2XXS
  • W18.30XA
  • W18.30XD
  • W18.30XS
  • W18.31XA
  • W18.31XD
  • W18.31XS
  • W18.39XA
  • W18.39XD
  • W18.39XS
  • W19.XXXA
  • W19.XXXD
  • W19.XXXS
  • Y92.199
  • Z59.3
  • Z73.6
  • Z74.01
  • Z74.09
  • Z74.1
  • Z74.2
  • Z74.3
  • Z74.8
  • Z74.9
  • Z91.81
  • Z99.11
  • Z99.3
  • Z99.81
  • Z99.89

SNOMED CT US Edition

  • 16728003
  • 17886000
  • 20902002
  • 33036003
  • 40104005
  • 44188002
  • 52702003
  • 56307009
  • 67223001
  • 74541001
  • 83468000
  • 90619006
  • 129588001
  • 162845004
  • 214436006
  • 214437002
  • 214438007
  • 214439004
  • 214441003
  • 214442005
  • 214443000
  • 214444006
  • 217082002
  • 217083007
  • 217084001
  • 217086004
  • 217088003
  • 217090002
  • 217092005
  • 217093000
  • 217094006
  • 217142006
  • 217154006
  • 217155007
  • 217156008
  • 217157004
  • 217158009
  • 217173005
  • 225558004
  • 225562005
  • 225563000
  • 242109009
  • 242389003
  • 242390007
  • 242391006
  • 242392004
  • 242395002
  • 242396001
  • 242413007
  • 242414001
  • 242419006
  • 269699007
  • 274918000
  • 414188008
  • 414189000
  • 414190009
  • 427849003
  • 428484005
  • 429621003
  • 699214007
  • 699215008
  • 699216009
  • 699218005
  • 715504003
  • 763829004
  • 823018004
  • 92341000119107
  • 138371000119104
  • 8960001000004106
  • 10637031000119106
  • 10637071000119109
  • 10637111000119102
  • 10637151000119101

Glucose Test Result or Finding

CPT

  • 99504
  • 99509

HCPCS

  • G0162
  • G0299
  • G0300
  • G0493
  • G0494
  • S0271
  • S0311
  • S9123
  • S9124
  • T1000
  • T1001
  • T1002
  • T1003
  • T1004
  • T1005
  • T1019
  • T1020
  • T1021
  • T1022
  • T1030
  • T1031

HbA1c Lab Test

ICD10CM

  • R26.0
  • R26.1
  • R26.2
  • R26.89
  • R26.9
  • R41.81
  • R53.1
  • R53.81
  • R53.83
  • R54
  • R62.7
  • R63.4
  • R63.6
  • R64

SNOMED CT US Edition

  • 4468000
  • 8510008
  • 13791008
  • 18726006
  • 20940004
  • 22090007
  • 22325002
  • 22631008
  • 23042008
  • 25136009
  • 26544005
  • 41786007
  • 43005009
  • 50314001
  • 67141003
  • 78119002
  • 78691002
  • 84229001
  • 89362005
  • 102492002
  • 102568007
  • 102891000
  • 105501005
  • 105503008
  • 105504002
  • 126013009
  • 127378008
  • 135834002
  • 160681005
  • 160683008
  • 160684002
  • 160685001
  • 160692006
  • 160693001
  • 160734000
  • 160737007
  • 161832001
  • 161873000
  • 161874006
  • 162236007
  • 162239000
  • 163600007
  • 163686004
  • 163695007
  • 165243005
  • 165244004
  • 224960004
  • 225612007
  • 238108007
  • 248269005
  • 248278004
  • 248279007
  • 249888000
  • 249937002
  • 249938007
  • 249939004
  • 249940002
  • 249941003
  • 249942005
  • 249943000
  • 249946008
  • 250002000
  • 250003005
  • 250015009
  • 250029005
  • 250032008
  • 250033003
  • 250034009
  • 250038007
  • 250043000
  • 250044006
  • 250045007
  • 250048009
  • 250052009
  • 250054005
  • 262285001
  • 267024001
  • 267031002
  • 267032009
  • 268964003
  • 271795006
  • 271875007
  • 272036004
  • 272060000
  • 272062008
  • 275313006
  • 284529003
  • 298283006
  • 300948004
  • 309249007
  • 309257005
  • 312444006
  • 314109004
  • 365884000
  • 367391008
  • 371028005
  • 373931001
  • 394616008
  • 397776000
  • 404904002
  • 413121008
  • 418073009
  • 422868009
  • 426977000
  • 428116008
  • 428264009
  • 429091008
  • 429487005
  • 431524008
  • 432559006
  • 442099003
  • 444042007
  • 444932008
  • 448765001
  • 713512009
  • 713514005
  • 713568000
  • 713655003
  • 784317004
  • 784318009
  • 788876001
  • 788900007
  • 931000119107
  • 60631000119109
  • 60651000119103
  • 69161000119103
  • 79021000119104
  • 79031000119101
  • 85711000119103
  • 89201000119106
  • 152921000119101
  • 250991000119100
  • 15634971000119107
  • 16018391000119104
  • 16018431000119109
  • 16419651000119103

HbA1c Test Result or Finding

HCPCS

  • G9473
  • G9474
  • G9475
  • G9476
  • G9477
  • G9478
  • G9479
  • Q5003
  • Q5004
  • Q5005
  • Q5006
  • Q5007
  • Q5008
  • Q5010
  • S9126
  • T2042
  • T2043
  • T2044
  • T2045
  • T2046

SNOMED CT US Edition

  • 183919006
  • 183920000
  • 183921001
  • 305336008
  • 305911006
  • 385765002

UBREV

  • 0115
  • 0125
  • 0135
  • 0145
  • 0155
  • 0235
  • 0650
  • 0651
  • 0652
  • 0655
  • 0656
  • 0657
  • 0658
  • 0659