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