5 POPULATION: Number of patients in denominator Number of unique patients seen in the Diabetes who had one or more HbA1c test reporting period, 18-75 years of age, A1C testing in patients results recorded during the past 12 with two ambulatory care visits since with diabetes months up to and including the last day diabetes diagnosis in past 24 months. of the reporting period. (can be Diabetes diagnosis: ICD-9- CM Codes identified through either CPT Code 250, 357.2, 362.0, 366.41, 648.0; DRGs 83036 or LOINC Codes 4548-4, 4549-2, 294, 205 Outpatient/non-acute 17855-8, 17856-6, or 4637-5, or an inpatient: CPT Codes 92002-92014, automated laboratory record with a 99201-99205, 99211-99215, service date, or, at minimum, 99241, 99245, 99271-99275, documentation in the medical record 99301-99303, 99311-99313, must include a note indicating the date 99331-99333, 99341-99355, on which the HbA1c test was 99384-99387, 99394-99397, performed and the result.) 99411, 99412, 99420, 99429,
5 POPULATION: Diabetes A1C testing in patients with diabetes Number of patients in denominator who had one or more HbA1c test results recorded during the past 12 months up to and including the last day of the reporting period. (can be identified through either CPT Code 83036 or LOINC Codes 4548-4, 4549-2, 17855-8, 17856-6, or 4637-5, or an automated laboratory record with a service date, or, at minimum, documentation in the medical record must include a note indicating the date on which the HbA1c test was performed and the result.) Number of unique patients seen in the reporting period, 18-75 years of age, with two ambulatory care visits since diabetes diagnosis in past 24 months. Diabetes diagnosis: ICD-9- CM Codes 250, 357.2, 362.0, 366.41, 648.0; DRGs 294, 205 Outpatient/non-acute inpatient: CPT Codes 92002-92014, 99201-99205, 99211-99215, 99241, 99245, 99271-99275, 99301-99303, 99311-99313, 99331-99333, 99341-99355, 99384-99387, 99394-99397, 99411, 99412, 99420, 99429,
Metrics_and_definitions.docx