Clinical Coding & Guidelines

CMS Proposed Rule Changes - DSME and DPP

CMS Proposed Rule Changes - DSME and DPP

On July 7th, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a proposal to expand the Diabetes Prevention Program to Medicare beneficiaries beginning on January 1, 2018. There are also some changes proposed for the delivery of DMSE. Public comment may be submitted until September 6, 2016.

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CPT Coding for Diabetes Prevention Program

CPT Coding for Diabetes Prevention Program

The American Medical Association is introducing a new Category III code, effective January 1, 2016, to be used to report the services provided in a standardized diabetes prevention program (DPP) recognized by the Centers for Disease Control and Prevention (CDC). The provider of the DPP may report one unit of CPT code 0403T for each 60-minute session provided to individuals in a group setting.

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CDC Brief and FAQs on Diabetes Prevention Program CPT Code

CDC Brief and FAQs on Diabetes Prevention Program CPT Code

Provides detailed information on use of the new DPP CPT code along with frequently asked questions and answers.

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Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics

Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics

The position statement was reviewed and approved by the Professional Practice Committee of the American Diabetes Association, the Professional Practice Committee of the American Association of Diabetes Educators, and the House Leadership Team, the Academy Positions Committee, and the Evidence-Based Practice Committee of the Academy of Nutrition and Dietetics.

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Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: U.S. Preventive Services Task Force Recommendation Statement 2015

Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: U.S. Preventive Services Task Force Recommendation Statement 2015

The United States Preventative Services Task Force (USPSTF) has updated a 2008 recommendation about blood glucose screening in adults. Previously, the USPSTF recommended screening adults between the ages of 40 and 70 years old with hypertension; this release did not mention weight. In an update of that recommendation published in October 2015, the USPSTF has changed the recommendation to screen for the disease in adults between those ages who are overweight or obese. The change comes as the prevalence of both obesity and T2DM continue to grow in the United States. Being overweight is a major risk factor for T2DM.

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ICD-9 to ICD-10 Crosswalk for Diabetes Self-Management Training

ICD-9 to ICD-10 Crosswalk for Diabetes Self-Management Training

In response to questions regarding the new diabetes-related ICD-10 codes, we are sharing the ICD-9 to ICD-10 crosswalk provided by the American Association of Diabetes Educators.

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Nevada Diabetes Association Resource Directory
Directorio de Recursos de la Asociación de Diabetes de Nevada