![]() any ideas so to a good code to use that might be more "univeral" would be really helpful. example: patient gets tested and the result it high, the code should be uncontrolled dm, but that would mean the medical assistant would need to choose a dx (out of scope of work?), the programers had put in 790.29 which seemed to be ok but now we are doing extensive work with prediabetic patients and that is the code that gets associated with prediabetics so to identify the prediabetics it would be essential to cross match patients to determine if they were coded with 790.29 because of the test or becasue they are truely prediabetic. I am trying to find a code that would be appropriate for testing that would not be incorrect for the patient. ![]() We have an electronic health record that we have codes mapped to tests to eliminate medical assistance staff from needing to do that matching. HbA1c testing and appropriate diagnosis code HbA1c testing and appropriate diagnosis code this may be a bit complicated but here goes. To start viewing messages, select the forum that you want to visit from the selection below. ![]() If you've forgotten your username or password use our password reminder tool. If you are a member and have already registered for member area and forum access, you can log in by clicking here. To view all forums, post or create a new thread, you must be an AAPC Member. HbA1c testing and appropriate diagnosis code If this is your first visit, be sure to check out the FAQ & read the forum rules. Hba1c Testing And Appropriate Diagnosis Code ![]() Not surprisingly, the probability of nephrologist referral among Medicare patients with diabetes or hypertension is relatively low, at 616 percent rates ar Such data provide important evidence that providers are not screening at-risk patients at intervals recommended by the American Heart Association and the American Diabetes Association. Similar rates are noted among those with private insurance. Among those with hypertension, the probability is now 0.04. The probability of microalbumin testing within a year in Medicare CKD patients with diabetes has increased since 20012002, reaching 0.32 in 20072008. We first evaluate how frequently patients with diabetes, hypertension, or both diagnoses receive a urine microalbumin test. We have thus limited our analyses of laboratory data in this chapter to the Ingenix i3 dataset. This is particularly true for the MarketScan dataset, in that the self-insured groups are with companies that hold the funds for services. In other EGHP populations, however, global contracts for areas such as laboratory services may make it difficult to determine exactly which tests are ordered. In the Medicare and fee-for-service employer group health plans (EGHPs), laboratory tests can be billed based on physician clinical management under a fee schedule. These tests have specific CPT service codes, and are covered by Medicare and by many private health plans. Detection of CKD can be accomplished with simple tests such as serum creatinine and urine microalbumin. Adverse event rates are high, and the risk of death rises with CKD stage, as does the likelihood of reaching ESRD a state of high morbidity, mortality, and cost. Care of patients with chronic kidney disease Patients with chronic kidney disease pose a unique challenge to the healthcare system.
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