Skip to main content
COVID-19

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 (Claims)

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

CPT

  • 80047
  • 80048
  • 80050
  • 80053
  • 80069
  • 82947
  • 82950
  • 82951

LOINC

  • 10450-5
  • 1492-8
  • 1494-4
  • 1496-9
  • 1499-3
  • 1501-6
  • 1504-0
  • 1507-3
  • 1514-9
  • 1518-0
  • 1530-5
  • 1533-9
  • 1554-5
  • 1557-8
  • 1558-6
  • 17865-7
  • 20436-2
  • 20437-0
  • 20438-8
  • 20440-4
  • 26554-6
  • 41024-1
  • 49134-0
  • 6749-6
  • 9375-7

SNOMED CT US Edition

  • 22569008
  • 33747003
  • 52302001
  • 72191006
  • 73128004
  • 88856000
  • 104686004
  • 167086002
  • 167087006
  • 167088001
  • 167095005
  • 167096006
  • 167097002
  • 250417005
  • 271061004
  • 271062006
  • 271063001
  • 271064007
  • 271065008
  • 275810004
  • 302788006
  • 302789003
  • 308113006
  • 313474007
  • 313545000
  • 313546004
  • 313624000
  • 313626003
  • 313627007
  • 313628002
  • 313630000
  • 313631001
  • 313697000
  • 313698005
  • 313810002
  • 412928005
  • 440576000
  • 443780009
  • 444008003
  • 444127006

Glucose Test Result or Finding

SNOMED CT US Edition

  • 166890005
  • 166891009
  • 166892002
  • 166914001
  • 166915000
  • 166916004
  • 166917008
  • 166918003
  • 166919006
  • 166921001
  • 166922008
  • 166923003
  • 442545002
  • 444780001

HbA1c Lab Test

CPT

  • 83036
  • 83037

LOINC

  • 17856-6
  • 4548-4
  • 4549-2
  • 96595-4

SNOMED CT US Edition

  • 43396009
  • 313835008

HbA1c Test Result or Finding

CPT-CAT-II

  • 3044F
  • 3046F
  • 3051F
  • 3052F

SNOMED CT US Edition

  • 165679005
  • 451061000124104