NQF 0062: Diabetes Urine Protein Screening

Measure:

Record the percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period.

Numerator:

Patients in the denominator with a screening for nephropathy or evidence of nephropathy during the measurement period.

Denominator:

Patients 18-75 years of age with diabetes with a visit during the measurement period.

Exclusion:

None

NQS Domain:

Effective Clinical Care

In ChartMaker Clinical:

In order to qualify for this measure, the provider must have seen the patient of appropriate age (18 to 75) at least one time during the reporting period and have the appropriate information documented in the chart:

Required Data Elements for the Denominator*: 

• Office Visit or Face-to-Face Encounter Code during the measurement period
Valid Office Visit Encounter Codes: 
CPT: 
CodeDescription
99201Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99203Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99204Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99205Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99212Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99213Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99214Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99215Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99341Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99342Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99343Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99344Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99345Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent face-to-face with the patient and/or family.
99347Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99348Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99349Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99350Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99385Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years
99386Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years
99387Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older
99395Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years
99396Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years
99397Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Valid Face-to-Face Interaction (SNOMED) Codes: 
SNOMED:  
CodeDescription
12843005Subsequent hospital visit by physician (procedure)
18170008Subsequent nursing facility visit (procedure)
185349003Encounter for "check-up" (procedure)
185463005Visit out of hours (procedure)
185465003Weekend visit (procedure)
19681004Nursing evaluation of patient and report (procedure)
207195004History and physical examination with evaluation and management of nursing facility patient (procedure)
270427003Patient-initiated encounter (procedure)
270430005Provider-initiated encounter (procedure)
308335008Patient encounter procedure (procedure)
390906007Follow-up encounter (procedure)
406547006Urgent follow-up (procedure)
439708006Home visit (procedure)
87790002Follow-up inpatient consultation visit (procedure)
90526000Initial evaluation and management of healthy individual (procedure)
• Diabetes Diagnosis Code (with attached SNOMED) that starts before or during the measurement period
ICD-9: 
CodeDescription
250.00Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
250.01Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled
250.02Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled
250.03Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled
250.10Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled
250.11Diabetes with ketoacidosis, type I [juvenile type], not stated as uncontrolled
250.12Diabetes with ketoacidosis, type II or unspecified type, uncontrolled
250.13Diabetes with ketoacidosis, type I [juvenile type], uncontrolled
250.20Diabetes with hyperosmolarity, type II or unspecified type, not stated as uncontrolled
250.21Diabetes with hyperosmolarity, type I [juvenile type], not stated as uncontrolled
250.22Diabetes with hyperosmolarity, type II or unspecified type, uncontrolled
250.23Diabetes with hyperosmolarity, type I [juvenile type], uncontrolled
250.30Diabetes with other coma, type II or unspecified type, not stated as uncontrolled
250.31Diabetes with other coma, type I [juvenile type], not stated as uncontrolled
250.32Diabetes with other coma, type II or unspecified type, uncontrolled
250.33Diabetes with other coma, type I [juvenile type], uncontrolled
250.41Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled
250.42Diabetes with renal manifestations, type II or unspecified type, uncontrolled
250.43Diabetes with renal manifestations, type I [juvenile type], uncontrolled
250.50Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled
250.51Diabetes with ophthalmic manifestations, type I [juvenile type], not stated as uncontrolled
250.52Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled
250.53Diabetes with ophthalmic manifestations, type I [juvenile type], uncontrolled
250.60Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled
250.61Diabetes with neurological manifestations, type I [juvenile type], not stated as uncontrolled
250.62Diabetes with neurological manifestations, type II or unspecified type, uncontrolled
250.63Diabetes with neurological manifestations, type I [juvenile type], uncontrolled
250.70Diabetes with peripheral circulatory disorders, type II or unspecified type, not stated as uncontrolled
250.71Diabetes with peripheral circulatory disorders, type I [juvenile type], not stated as uncontrolled
250.72Diabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled
250.73Diabetes with peripheral circulatory disorders, type I [juvenile type], uncontrolled
250.80Diabetes with other specified manifestations, type II or unspecified type, not stated as uncontrolled
250.81Diabetes with other specified manifestations, type I [juvenile type], not stated as uncontrolled
250.82Diabetes with other specified manifestations, type II or unspecified type, uncontrolled
250.83Diabetes with other specified manifestations, type I [juvenile type], uncontrolled
250.90Diabetes with unspecified complication, type II or unspecified type, not stated as uncontrolled
250.91Diabetes with unspecified complication, type I [juvenile type], not stated as uncontrolled
250.92Diabetes with unspecified complication, type II or unspecified type, uncontrolled
250.93Diabetes with unspecified complication, type I [juvenile type], uncontrolled
648.01Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with or without mention of antepartum condition
648.02Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, delivered, with mention of postpartum complication
648.03Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, antepartum condition or complication
648.04Diabetes mellitus of mother, complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication
ICD-10: 
CodeDescription
E10.10Type 1 diabetes mellitus with ketoacidosis without coma
E10.11Type 1 diabetes mellitus with ketoacidosis with coma
E10.21Type 1 diabetes mellitus with diabetic nephropathy
E10.22Type 1 diabetes mellitus with diabetic chronic kidney disease
E10.29Type 1 diabetes mellitus with other diabetic kidney complication
E10.311Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E10.319Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E10.321Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E10.329Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E10.331Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E10.339Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
E10.341Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
E10.349Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E10.351Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema
E10.359Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema
E10.36Type 1 diabetes mellitus with diabetic cataract
E10.39Type 1 diabetes mellitus with other diabetic ophthalmic complication
E10.40Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.41Type 1 diabetes mellitus with diabetic mononeuropathy
E10.42Type 1 diabetes mellitus with diabetic polyneuropathy
E10.43Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E10.44Type 1 diabetes mellitus with diabetic amyotrophy
E10.49Type 1 diabetes mellitus with other diabetic neurological complication
E10.51Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.59Type 1 diabetes mellitus with other circulatory complications
E10.610Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E10.618Type 1 diabetes mellitus with other diabetic arthropathy
E10.620Type 1 diabetes mellitus with diabetic dermatitis
E10.621Type 1 diabetes mellitus with foot ulcer
E10.622Type 1 diabetes mellitus with other skin ulcer
E10.628Type 1 diabetes mellitus with other skin complications
E10.630Type 1 diabetes mellitus with periodontal disease
E10.638Type 1 diabetes mellitus with other oral complications
E10.641Type 1 diabetes mellitus with hypoglycemia with coma
E10.649Type 1 diabetes mellitus with hypoglycemia without coma
E10.65Type 1 diabetes mellitus with hyperglycemia
E10.69Type 1 diabetes mellitus with other specified complication
E10.8Type 1 diabetes mellitus with unspecified complications
E10.9Type 1 diabetes mellitus without complications
E11.00Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01Type 2 diabetes mellitus with hyperosmolarity with coma
E11.21Type 2 diabetes mellitus with diabetic nephropathy
E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease
E11.29Type 2 diabetes mellitus with other diabetic kidney complication
E11.311Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.321Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E11.329Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E11.331Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E11.339Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
E11.341Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
E11.349Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E11.351Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema
E11.359Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema
E11.36Type 2 diabetes mellitus with diabetic cataract
E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.40Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44Type 2 diabetes mellitus with diabetic amyotrophy
E11.49Type 2 diabetes mellitus with other diabetic neurological complication
E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59Type 2 diabetes mellitus with other circulatory complications
E11.610Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E11.618Type 2 diabetes mellitus with other diabetic arthropathy
E11.620Type 2 diabetes mellitus with diabetic dermatitis
E11.621Type 2 diabetes mellitus with foot ulcer
E11.622Type 2 diabetes mellitus with other skin ulcer
E11.628Type 2 diabetes mellitus with other skin complications
E11.630Type 2 diabetes mellitus with periodontal disease
E11.638Type 2 diabetes mellitus with other oral complications
E11.641Type 2 diabetes mellitus with hypoglycemia with coma
E11.649Type 2 diabetes mellitus with hypoglycemia without coma
E11.65Type 2 diabetes mellitus with hyperglycemia
E11.69Type 2 diabetes mellitus with other specified complication
E11.8Type 2 diabetes mellitus with unspecified complications
E11.9Type 2 diabetes mellitus without complications
E13.00Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E13.01Other specified diabetes mellitus with hyperosmolarity with coma
E13.10Other specified diabetes mellitus with ketoacidosis without coma
E13.11Other specified diabetes mellitus with ketoacidosis with coma
E13.21Other specified diabetes mellitus with diabetic nephropathy
E13.22Other specified diabetes mellitus with diabetic chronic kidney disease
E13.29Other specified diabetes mellitus with other diabetic kidney complication
E13.311Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema
E13.319Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema
E13.321Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E13.329Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E13.331Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E13.339Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
E13.341Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema
E13.349Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema
E13.351Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema
E13.359Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema
E13.36Other specified diabetes mellitus with diabetic cataract
E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication
E13.40Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41Other specified diabetes mellitus with diabetic mononeuropathy
E13.42Other specified diabetes mellitus with diabetic polyneuropathy
E13.43Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44Other specified diabetes mellitus with diabetic amyotrophy
E13.49Other specified diabetes mellitus with other diabetic neurological complication
E13.51Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59Other specified diabetes mellitus with other circulatory complications
E13.610Other specified diabetes mellitus with diabetic neuropathic arthropathy
E13.618Other specified diabetes mellitus with other diabetic arthropathy
E13.620Other specified diabetes mellitus with diabetic dermatitis
E13.621Other specified diabetes mellitus with foot ulcer
E13.622Other specified diabetes mellitus with other skin ulcer
E13.628Other specified diabetes mellitus with other skin complications
E13.630Other specified diabetes mellitus with periodontal disease
E13.638Other specified diabetes mellitus with other oral complications
E13.641Other specified diabetes mellitus with hypoglycemia with coma
E13.649Other specified diabetes mellitus with hypoglycemia without coma
E13.65Other specified diabetes mellitus with hyperglycemia
E13.69Other specified diabetes mellitus with other specified complication
E13.8Other specified diabetes mellitus with unspecified complications
E13.9Other specified diabetes mellitus without complications
O24.011Pre-existing diabetes mellitus, type 1, in pregnancy, first trimester
O24.012Pre-existing diabetes mellitus, type 1, in pregnancy, second trimester
O24.013Pre-existing diabetes mellitus, type 1, in pregnancy, third trimester
O24.019Pre-existing diabetes mellitus, type 1, in pregnancy, unspecified trimester
O24.02Pre-existing diabetes mellitus, type 1, in childbirth
O24.03Pre-existing diabetes mellitus, type 1, in the puerperium
O24.111Pre-existing diabetes mellitus, type 2, in pregnancy, first trimester
O24.112Pre-existing diabetes mellitus, type 2, in pregnancy, second trimester
O24.113Pre-existing diabetes mellitus, type 2, in pregnancy, third trimester
O24.119Pre-existing diabetes mellitus, type 2, in pregnancy, unspecified trimester
O24.12Pre-existing diabetes mellitus, type 2, in childbirth
O24.13Pre-existing diabetes mellitus, type 2, in the puerperium
O24.311Unspecified pre-existing diabetes mellitus in pregnancy, first trimester
O24.312Unspecified pre-existing diabetes mellitus in pregnancy, second trimester
O24.313Unspecified pre-existing diabetes mellitus in pregnancy, third trimester
O24.319Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.32Unspecified pre-existing diabetes mellitus in childbirth
O24.33Unspecified pre-existing diabetes mellitus in the puerperium
O24.811Other pre-existing diabetes mellitus in pregnancy, first trimester
O24.812Other pre-existing diabetes mellitus in pregnancy, second trimester
O24.813Other pre-existing diabetes mellitus in pregnancy, third trimester
O24.819Other pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.82Other pre-existing diabetes mellitus in childbirth
O24.83Other pre-existing diabetes mellitus in the puerperium
SNOMED:  
CodeDescription
4783006Maternal diabetes mellitus with hypoglycemia affecting fetus OR newborn (disorder)
9859006Type 2 diabetes mellitus with acanthosis nigricans (disorder)
23045005Insulin dependent diabetes mellitus type IA (disorder)
28032008Insulin dependent diabetes mellitus type IB (disorder)
44054006Diabetes mellitus type 2 (disorder)
46635009Diabetes mellitus type 1 (disorder)
75682002Diabetes mellitus due to insulin receptor antibodies (disorder)
76751001Diabetes mellitus in mother complicating pregnancy, childbirth AND/OR puerperium (disorder)
81531005Diabetes mellitus type 2 in obese (disorder)
190330002Type 1 diabetes mellitus with hyperosmolar coma (disorder)
190331003Type 2 diabetes mellitus with hyperosmolar coma (disorder)
190368000Type I diabetes mellitus with ulcer (disorder)
190369008Type I diabetes mellitus with gangrene (disorder)
190372001Type I diabetes mellitus maturity onset (disorder)
190389009Type II diabetes mellitus with ulcer (disorder)
190390000Type II diabetes mellitus with gangrene (disorder)
199223000Diabetes mellitus during pregnancy, childbirth and the puerperium (disorder)
199225007Diabetes mellitus during pregnancy - baby delivered (disorder)
199226008Diabetes mellitus in the puerperium - baby delivered during current episode of care (disorder)
199227004Diabetes mellitus during pregnancy - baby not yet delivered (disorder)
199228009Diabetes mellitus in the puerperium - baby delivered during previous episode of care (disorder)
199229001Pre-existing type 1 diabetes mellitus (disorder)
199230006Pre-existing type 2 diabetes mellitus (disorder)
237599002Insulin treated type 2 diabetes mellitus (disorder)
237618001Insulin-dependent diabetes mellitus secretory diarrhea syndrome (disorder)
237627000Pregnancy and type 2 diabetes mellitus (disorder)
313435000Type I diabetes mellitus without complication (disorder)
313436004Type II diabetes mellitus without complication (disorder)
314771006Type I diabetes mellitus with hypoglycemic coma (disorder)
314772004Type II diabetes mellitus with hypoglycemic coma (disorder)
314893005Type I diabetes mellitus with arthropathy (disorder)
314894004Type I diabetes mellitus with neuropathic arthropathy (disorder)
314902007Type II diabetes mellitus with peripheral angiopathy (disorder)
314903002Type II diabetes mellitus with arthropathy (disorder)
314904008Type II diabetes mellitus with neuropathic arthropathy (disorder)
359642000Diabetes mellitus type 2 in nonobese (disorder)

Required Data Elements for the Numerator*: 

At least one of the following:

• ACE Inhibitor or ARB Medication that starts before or during the measurement period
  • 24 HR trandolapril 1 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet
  • 24 HR trandolapril 2 MG / Verapamil hydrochloride 180 MG Extended Release Oral Tablet
  • 24 HR trandolapril 2 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet
  • 24 HR trandolapril 4 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet
  • aliskiren 150 MG / valsartan 160 MG Oral Tablet
  • aliskiren 300 MG / valsartan 320 MG Oral Tablet
  • Amlodipine 10 MG / Benazepril hydrochloride 20 MG Oral Capsule
  • Amlodipine 10 MG / Benazepril hydrochloride 40 MG Oral Capsule
  • Amlodipine 10 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Amlodipine 10 MG / Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet
  • Amlodipine 10 MG / Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Amlodipine 10 MG / Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet
  • Amlodipine 10 MG / Hydrochlorothiazide 25 MG / valsartan 320 MG Oral Tablet
  • Amlodipine 10 MG / Olmesartan medoxomil 20 MG Oral Tablet
  • Amlodipine 10 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Amlodipine 10 MG / telmisartan 40 MG Oral Tablet
  • Amlodipine 10 MG / telmisartan 80 MG Oral Tablet
  • Amlodipine 10 MG / valsartan 160 MG Oral Tablet
  • Amlodipine 10 MG / valsartan 320 MG Oral Tablet
  • Amlodipine 2.5 MG / Benazepril hydrochloride 10 MG Oral Capsule
  • Amlodipine 5 MG / Benazepril hydrochloride 10 MG Oral Capsule
  • Amlodipine 5 MG / Benazepril hydrochloride 20 MG Oral Capsule
  • Amlodipine 5 MG / Benazepril hydrochloride 40 MG Oral Capsule
  • Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 20 MG Oral Tablet
  • Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet
  • Amlodipine 5 MG / Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Amlodipine 5 MG / Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet
  • Amlodipine 5 MG / Olmesartan medoxomil 20 MG Oral Tablet
  • Amlodipine 5 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Amlodipine 5 MG / telmisartan 40 MG Oral Tablet
  • Amlodipine 5 MG / telmisartan 80 MG Oral Tablet
  • Amlodipine 5 MG / valsartan 160 MG Oral Tablet
  • Amlodipine 5 MG / valsartan 320 MG Oral Tablet
  • Benazepril hydrochloride 10 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • Benazepril hydrochloride 10 MG Oral Tablet
  • Benazepril hydrochloride 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • Benazepril hydrochloride 20 MG / Hydrochlorothiazide 25 MG Oral Tablet
  • Benazepril hydrochloride 20 MG Oral Tablet
  • Benazepril hydrochloride 40 MG Oral Tablet
  • Benazepril hydrochloride 5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet
  • Benazepril hydrochloride 5 MG Oral Tablet
  • candesartan cilexetil 16 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • candesartan cilexetil 16 MG Oral Tablet
  • candesartan cilexetil 32 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • candesartan cilexetil 32 MG / Hydrochlorothiazide 25 MG Oral Tablet
  • candesartan cilexetil 32 MG Oral Tablet
  • candesartan cilexetil 4 MG Oral Tablet
  • candesartan cilexetil 8 MG Oral Tablet
  • Captopril 100 MG Oral Tablet
  • Captopril 12.5 MG Oral Tablet
  • Captopril 25 MG / Hydrochlorothiazide 15 MG Oral Tablet
  • Captopril 25 MG / Hydrochlorothiazide 25 MG Oral Tablet
  • Captopril 25 MG Oral Tablet
  • Captopril 50 MG / Hydrochlorothiazide 15 MG Oral Tablet
  • Captopril 50 MG / Hydrochlorothiazide 25 MG Oral Tablet
  • Captopril 50 MG Oral Tablet
  • Captopril 6.25 MG Oral Tablet
  • Diltiazem Hydrochloride 180 MG / Enalapril Maleate 5 MG Extended Release Oral Tablet
  • Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet
  • Enalapril Maleate 10 MG Oral Tablet
  • Enalapril Maleate 2.5 MG Oral Tablet
  • Enalapril Maleate 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • Enalapril Maleate 20 MG Oral Tablet
  • Enalapril Maleate 5 MG / Felodipine 2.5 MG Extended Release Oral Tablet
  • Enalapril Maleate 5 MG / Felodipine 5 MG Extended Release Oral Tablet
  • Enalapril Maleate 5 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • Enalapril Maleate 5 MG Oral Tablet
  • eprosartan 400 MG Oral Tablet
  • eprosartan 600 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • eprosartan 600 MG / Hydrochlorothiazide 25 MG Oral Tablet
  • eprosartan 600 MG Oral Tablet
  • Fosinopril Sodium 10 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • Fosinopril Sodium 10 MG Oral Tablet
  • Fosinopril Sodium 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet
  • Fosinopril Sodium 20 MG Oral Tablet
  • Fosinopril Sodium 40 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / irbesartan 150 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / irbesartan 300 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Losartan Potassium 100 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Losartan Potassium 50 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Moexipril hydrochloride 15 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Moexipril hydrochloride 7.5 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 20 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / quinapril 10 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / quinapril 20 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / telmisartan 40 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / telmisartan 80 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / valsartan 320 MG Oral Tablet
  • Hydrochlorothiazide 12.5 MG / valsartan 80 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / irbesartan 300 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / Lisinopril 20 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / Losartan Potassium 100 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / Moexipril hydrochloride 15 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / quinapril 20 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / telmisartan 80 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet
  • Hydrochlorothiazide 25 MG / valsartan 320 MG Oral Tablet
  • irbesartan 150 MG Oral Tablet
  • irbesartan 300 MG Oral Tablet
  • irbesartan 75 MG Oral Tablet
  • Lisinopril 10 MG Oral Tablet
  • Lisinopril 2.5 MG Oral Tablet
  • Lisinopril 20 MG Oral Tablet
  • Lisinopril 30 MG Oral Tablet
  • Lisinopril 40 MG Oral Tablet
  • Lisinopril 5 MG Oral Tablet
  • Losartan Potassium 100 MG Oral Tablet
  • Losartan Potassium 25 MG Oral Tablet
  • Losartan Potassium 50 MG Oral Tablet
  • Moexipril hydrochloride 15 MG Oral Tablet
  • Moexipril hydrochloride 7.5 MG Oral Tablet
  • Olmesartan medoxomil 20 MG Oral Tablet
  • Olmesartan medoxomil 40 MG Oral Tablet
  • Olmesartan medoxomil 5 MG Oral Tablet
  • Perindopril Erbumine 2 MG Oral Tablet
  • Perindopril Erbumine 4 MG Oral Tablet
  • Perindopril Erbumine 8 MG Oral Tablet
  • quinapril 10 MG Oral Tablet
  • quinapril 20 MG Oral Tablet
  • quinapril 40 MG Oral Tablet
  • quinapril 5 MG Oral Tablet
  • Ramipril 1.25 MG Oral Capsule
  • Ramipril 1.25 MG Oral Tablet
  • Ramipril 10 MG Oral Capsule
  • Ramipril 10 MG Oral Tablet
  • Ramipril 2.5 MG Oral Capsule
  • Ramipril 2.5 MG Oral Tablet
  • Ramipril 5 MG Oral Capsule
  • Ramipril 5 MG Oral Tablet
  • telmisartan 20 MG Oral Tablet
  • telmisartan 40 MG Oral Tablet
  • telmisartan 80 MG Oral Tablet
  • trandolapril 0.5 MG Oral Capsule
  • trandolapril 1 MG Oral Capsule
  • trandolapril 1 MG Oral Tablet
  • trandolapril 2 MG Oral Capsule
  • trandolapril 2 MG Oral Tablet
  • trandolapril 4 MG Oral Capsule
  • trandolapril 4 MG Oral Tablet
  • valsartan 160 MG Oral Capsule
  • valsartan 160 MG Oral Tablet
  • valsartan 320 MG Oral Tablet
  • valsartan 40 MG Oral Tablet
  • valsartan 80 MG Oral Capsule
  • valsartan 80 MG Oral Tablet
  • • Hypertensive Chronic Kidney Disease Diagnosis Code (with attached SNOMED) that occurs before or during the measurement period
    ICD-9: 
    CodeDescription
    403.01Hypertensive chronic kidney disease, malignant, with chronic kidney disease stage V or end stage renal disease
    403.1Hypertensive chronic kidney disease, benign, with chronic kidney disease stage I through stage IV, or unspecified
    403.11Hypertensive chronic kidney disease, benign, with chronic kidney disease stage V or end stage renal disease
    403.9Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified
    403.91Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage V or end stage renal disease
    404Hypertensive heart and chronic kidney disease, malignant, without heart failure and with chronic kidney disease stage I through stage IV, or unspecified
    404.01Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
    404.02Hypertensive heart and chronic kidney disease, malignant, without heart failure and with chronic kidney disease stage V or end stage renal disease
    404.03Hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage V or end stage renal disease
    404.1Hypertensive heart and chronic kidney disease, benign, without heart failure and with chronic kidney disease stage I through stage IV, or unspecified
    404.11Hypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
    404.12Hypertensive heart and chronic kidney disease, benign, without heart failure and with chronic kidney disease stage V or end stage renal disease
    404.13Hypertensive heart and chronic kidney disease, benign, with heart failure and chronic kidney disease stage V or end stage renal disease
    404.9Hypertensive heart and chronic kidney disease, unspecified, without heart failure and with chronic kidney disease stage I through stage IV, or unspecified
    404.91Hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage I through stage IV, or unspecified
    404.92Hypertensive heart and chronic kidney disease, unspecified, without heart failure and with chronic kidney disease stage V or end stage renal disease
    404.93Hypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage V or end stage renal disease
    ICD-10: 
    CodeDescription
    I12.0Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
    I12.9Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
    I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
    I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
    SNOMED: 
    CodeDescription
    90493000Arteriolar nephrosclerosis (disorder)
    62240004Benign arteriolar nephrosclerosis (disorder)
    66052004Benign hypertensive heart AND renal disease (disorder)
    193003Benign hypertensive renal disease (disorder)
    73410007Benign secondary renovascular hypertension (disorder)
    78544004Chronic hypertensive uremia (disorder)
    123800009Goldblatt hypertension (disorder)
    19769006High-renin essential hypertension (disorder)
    427889009Hypertension associated with transplantation (disorder)
    428575007Hypertension secondary to kidney transplant (disorder)
    111438007Hypertension secondary to renal disease in obstetric context (disorder)
    397748008Hypertension with albuminuria (disorder)
    86234004Hypertensive heart AND renal disease (disorder)
    473392002Hypertensive nephrosclerosis (disorder)
    38481006Hypertensive renal disease (disorder)
    194774006Hypertensive renal disease with renal failure (disorder)
    49220004Hypertensive renal failure (disorder)
    81363003Malignant arteriolar nephrosclerosis (disorder)
    285831000119108Malignant hypertensive chronic kidney disease (disorder)
    285841000119104Malignant hypertensive end stage renal disease (disorder)
    286371000119107Malignant hypertensive end stage renal disease on dialysis (disorder)
    66610008Malignant hypertensive heart AND renal disease (disorder)
    65443008Malignant hypertensive renal disease (disorder)
    32916005Nephrosclerosis (disorder)
    57684003Parenchymal renal hypertension (disorder)
    23130000Paroxysmal hypertension (disorder)
    39018007Renal arterial hypertension (disorder)
    28119000Renal hypertension (disorder)
    14973001Renal sclerosis with hypertension (disorder)
    123799005Renovascular hypertension (disorder)
    194783001Secondary malignant renovascular hypertension (disorder)
    • Glomerulonephritis and Nephrotic Syndrome Diagnosis Code (with attached SNOMED) that occurs before or during the measurement period
    ICD-9: 
    CodeDescription
    580.4Acute glomerulonephritis with lesion of rapidly progressive glomerulonephritis
    580.81Acute glomerulonephritis in diseases classified elsewhere
    580.89Acute glomerulonephritis with other specified pathological lesion in kidney
    580.9Acute glomerulonephritis with unspecified pathological lesion in kidney
    581.0Nephrotic syndrome with lesion of proliferative glomerulonephritis
    581.1Nephrotic syndrome with lesion of membranous glomerulonephritis
    581.2Nephrotic syndrome with lesion of membranoproliferative glomerulonephritis
    581.3Nephrotic syndrome with lesion of minimal change glomerulonephritis
    581.81Nephrotic syndrome in diseases classified elsewhere
    581.89Nephrotic syndrome with other specified pathological lesion in kidney
    581.9Nephrotic syndrome with unspecified pathological lesion in kidney
    582.0Chronic glomerulonephritis with lesion of proliferative glomerulonephritis
    582.1Chronic glomerulonephritis with lesion of membranous glomerulonephritis
    582.2Chronic glomerulonephritis with lesion of membranoproliferative glomerulonephritis
    582.4Chronic glomerulonephritis with lesion of rapidly progressive glomerulonephritis
    582.81Chronic glomerulonephritis in diseases classified elsewhere
    582.89Chronic glomerulonephritis with other specified pathological lesion in kidney
    582.9Chronic glomerulonephritis with unspecified pathological lesion in kidney
    583.0Nephritis and nephropathy, not specified as acute or chronic, with lesion of proliferative glomerulonephritis
    583.1Nephritis and nephropathy, not specified as acute or chronic, with lesion of membranous glomerulonephritis
    583.2Nephritis and nephropathy, not specified as acute or chronic, with lesion of membranoproliferative glomerulonephritis
    583.4Nephritis and nephropathy, not specified as acute or chronic, with lesion of rapidly progressive glomerulonephritis
    583.6Nephritis and nephropathy, not specified as acute or chronic, with lesion of renal cortical necrosis
    583.7Nephritis and nephropathy, not specified as acute or chronic, with lesion of renal medullary necrosis
    583.81Nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere
    583.89Nephritis and nephropathy, not specified as acute or chronic, with other specified pathological lesion in kidney
    583.9Nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney
    588.0Renal osteodystrophy
    588.1Nephrogenic diabetes insipidus
    588.81Secondary hyperparathyroidism (of renal origin)
    588.89Other specified disorders resulting from impaired renal function
    588.9Unspecified disorder resulting from impaired renal function
    ICD-10: 
    CodeDescription
    N00.0Acute nephritic syndrome with minor glomerular abnormality
    N00.1Acute nephritic syndrome with focal and segmental glomerular lesions
    N00.2Acute nephritic syndrome with diffuse membranous glomerulonephritis
    N00.3Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
    N00.4Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
    N00.5Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
    N00.6Acute nephritic syndrome with dense deposit disease
    N00.7Acute nephritic syndrome with diffuse crescentic glomerulonephritis
    N00.8Acute nephritic syndrome with other morphologic changes
    N00.9Acute nephritic syndrome with unspecified morphologic changes
    N01.0Rapidly progressive nephritic syndrome with minor glomerular abnormality
    N01.1Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions
    N01.2Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis
    N01.3Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
    N01.4Rapidly progressive nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
    N01.5Rapidly progressive nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
    N01.6Rapidly progressive nephritic syndrome with dense deposit disease
    N01.7Rapidly progressive nephritic syndrome with diffuse crescentic glomerulonephritis
    N01.8Rapidly progressive nephritic syndrome with other morphologic changes
    N01.9Rapidly progressive nephritic syndrome with unspecified morphologic changes
    N02.0Recurrent and persistent hematuria with minor glomerular abnormality
    N02.1Recurrent and persistent hematuria with focal and segmental glomerular lesions
    N02.2Recurrent and persistent hematuria with diffuse membranous glomerulonephritis
    N02.3Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis
    N02.4Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis
    N02.5Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis
    N02.6Recurrent and persistent hematuria with dense deposit disease
    N02.7Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis
    N02.8Recurrent and persistent hematuria with other morphologic changes
    N02.9Recurrent and persistent hematuria with unspecified morphologic changes
    N03.0Chronic nephritic syndrome with minor glomerular abnormality
    N03.1Chronic nephritic syndrome with focal and segmental glomerular lesions
    N03.2Chronic nephritic syndrome with diffuse membranous glomerulonephritis
    N03.3Chronic nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
    N03.4Chronic nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
    N03.5Chronic nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
    N03.6Chronic nephritic syndrome with dense deposit disease
    N03.7Chronic nephritic syndrome with diffuse crescentic glomerulonephritis
    N03.8Chronic nephritic syndrome with other morphologic changes
    N03.9Chronic nephritic syndrome with unspecified morphologic changes
    N04.0Nephrotic syndrome with minor glomerular abnormality
    N04.1Nephrotic syndrome with focal and segmental glomerular lesions
    N04.2Nephrotic syndrome with diffuse membranous glomerulonephritis
    N04.3Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis
    N04.4Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis
    N04.5Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis
    N04.6Nephrotic syndrome with dense deposit disease
    N04.7Nephrotic syndrome with diffuse crescentic glomerulonephritis
    N04.8Nephrotic syndrome with other morphologic changes
    N04.9Nephrotic syndrome with unspecified morphologic changes
    N05.0Unspecified nephritic syndrome with minor glomerular abnormality
    N05.1Unspecified nephritic syndrome with focal and segmental glomerular lesions
    N05.2Unspecified nephritic syndrome with diffuse membranous glomerulonephritis
    N05.3Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
    N05.4Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis
    N05.5Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis
    N05.6Unspecified nephritic syndrome with dense deposit disease
    N05.7Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis
    N05.8Unspecified nephritic syndrome with other morphologic changes
    N05.9Unspecified nephritic syndrome with unspecified morphologic changes
    N06.0Isolated proteinuria with minor glomerular abnormality
    N06.1Isolated proteinuria with focal and segmental glomerular lesions
    N06.2Isolated proteinuria with diffuse membranous glomerulonephritis
    N06.3Isolated proteinuria with diffuse mesangial proliferative glomerulonephritis
    N06.4Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis
    N06.5Isolated proteinuria with diffuse mesangiocapillary glomerulonephritis
    N06.6Isolated proteinuria with dense deposit disease
    N06.7Isolated proteinuria with diffuse crescentic glomerulonephritis
    N06.8Isolated proteinuria with other morphologic lesion
    N06.9Isolated proteinuria with unspecified morphologic lesion
    N07.0Hereditary nephropathy, not elsewhere classified with minor glomerular abnormality
    N07.1Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions
    N07.2Hereditary nephropathy, not elsewhere classified with diffuse membranous glomerulonephritis
    N07.3Hereditary nephropathy, not elsewhere classified with diffuse mesangial proliferative glomerulonephritis
    N07.4Hereditary nephropathy, not elsewhere classified with diffuse endocapillary proliferative glomerulonephritis
    N07.5Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis
    N07.6Hereditary nephropathy, not elsewhere classified with dense deposit disease
    N07.7Hereditary nephropathy, not elsewhere classified with diffuse crescentic glomerulonephritis
    N07.8Hereditary nephropathy, not elsewhere classified with other morphologic lesions
    N07.9Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions
    N08Glomerular disorders in diseases classified elsewhere
    N25.0Renal osteodystrophy
    N25.1Nephrogenic diabetes insipidus
    N25.81Secondary hyperparathyroidism of renal origin
    N25.89Other disorders resulting from impaired renal tubular function
    N25.9Disorder resulting from impaired renal tubular function, unspecified
    SNOMED: 
    CodeDescription
    81475007Acquired nephrogenic diabetes insipidus (disorder)
    57965003Acute benign hemorrhagic glomerulonephritic syndrome (disorder)
    197585004Acute diffuse nephritis (disorder)
    197584000Acute focal nephritis (disorder)
    19351000Acute glomerulonephritis (disorder)
    197582001Acute glomerulonephritis associated with another disorder (disorder)
    197687001Acute nephritic syndrome, dense deposit disease (disorder)
    197688006Acute nephritic syndrome, diffuse crescentic glomerulonephritis (disorder)
    197685009Acute nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis (disorder)
    197683002Acute nephritic syndrome, diffuse membranous glomerulonephritis (disorder)
    197684008Acute nephritic syndrome, diffuse mesangial proliferative glomerulonephritis (disorder)
    197686005Acute nephritic syndrome, diffuse mesangiocapillary glomerulonephritis (disorder)
    197682007Acute nephritic syndrome, focal and segmental glomerular lesions (disorder)
    197681000Acute nephritic syndrome, minor glomerular abnormality (disorder)
    61503006Acute nephritis (disorder)
    197580009Acute nephritis with lesions of necrotizing glomerulitis (disorder)
    58574008Acute nephropathy (disorder)
    68544003Acute post-streptococcal glomerulonephritis (disorder)
    197579006Acute proliferative glomerulonephritis (disorder)
    197670003Albright's renal tubular acidosis (disorder)
    236420000Alport syndrome-like hereditary nephritis (disorder)
    197629000Anaphylactoid glomerulonephritis (disorder)
    110996009Armanni-Ebstein kidney (disorder)
    90493000Arteriolar nephrosclerosis (disorder)
    444977005Autosomal dominant focal segmental glomerulosclerosis (disorder)
    445388002Autosomal recessive focal segmental glomerulosclerosis (disorder)
    62240004Benign arteriolar nephrosclerosis (disorder)
    197632002Berger's immunoglobulin A or immunoglobulin G nephropathy (disorder)
    236391006Bright's disease (disorder)
    236412002C1q nephropathy (disorder)
    197619007Chronic diffuse glomerulonephritis (disorder)
    197617009Chronic exudative glomerulonephritis (disorder)
    197618004Chronic focal glomerulonephritis (disorder)
    20917003Chronic glomerulonephritis (disorder)
    197616000Chronic glomerulonephritis associated with another disorder (disorder)
    197613008Chronic mesangial proliferative glomerulonephritis (disorder)
    197707007Chronic nephritic syndrome (disorder)
    197714009Chronic nephritic syndrome, dense deposit disease (disorder)
    197715005Chronic nephritic syndrome, diffuse crescentic glomerulonephritis (disorder)
    197712008Chronic nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis (disorder)
    197713003Chronic nephritic syndrome, diffuse mesangiocapillary glomerulonephritis (disorder)
    197709005Chronic nephritic syndrome, focal and segmental glomerular lesions (disorder)
    197708002Chronic nephritic syndrome, minor glomerular abnormality (disorder)
    197614002Chronic rapidly progressive glomerulonephritis (disorder)
    236404005Classical focal segmental glomerulosclerosis (disorder)
    276585000Congenital nephritis (disorder)
    48796009Congenital nephrotic syndrome (disorder)
    236384008Congenital nephrotic syndrome with focal glomerulosclerosis (disorder)
    236398000Crescentic glomerulonephritis (disorder)
    236590008Cytomegalovirus-induced glomerulonephritis (disorder)
    54181000Diabetes-nephrosis syndrome (disorder)
    425455002Diabetic glomerulonephritis (disorder)
    309426007Diabetic glomerulopathy (disorder)
    64212008Diffuse crescentic glomerulonephritis (disorder)
    3704008Diffuse endocapillary proliferative glomerulonephritis (disorder)
    38046004Diffuse type diabetic glomerulosclerosis (disorder)
    236461000Distal renal tubular acidosis (disorder)
    236385009Drash syndrome (disorder)
    118951003Drug-induced nephrogenic diabetes insipidus (disorder)
    236393009Endocapillary glomerulonephritis (disorder)
    234485006Epstein syndrome (disorder)
    253864004Familial hypoplastic, glomerulocystic kidney (disorder)
    445404003Familial immunoglobulin A nephropathy (disorder)
    236534002Familial lobular glomerulopathy (disorder)
    236383002Familial mesangial sclerosis (disorder)
    236460004Familial proximal renal tubular acidosis (disorder)
    236422008Fechtner syndrome (disorder)
    73305009Fibrillary glomerulonephritis (disorder)
    197601003Finnish congenital nephrotic syndrome (disorder)
    83866005Focal AND segmental proliferative glomerulonephritis (disorder)
    8199003Focal embolic nephritis syndrome (disorder)
    25821008Focal glomerular sclerosis (disorder)
    197628008Focal glomerulonephritis with focal recurrent macroscopic glomerulonephritis (disorder)
    197626007Focal membranoproliferative glomerulonephritis (disorder)
    236403004Focal segmental glomerulosclerosis (disorder)
    197679002Glomerular disease (disorder)
    197739000Glomerular disorders in blood diseases and disorders involving the immune mechanism (disorder)
    197738008Glomerular disorders in neoplastic diseases (disorder)
    22702000Glomerulitis (disorder)
    36171008Glomerulonephritis (disorder)
    236535001Glomerulopathy with giant fibrillar deposits (disorder)
    197661001Glomerulosclerosis (disorder)
    123610002Healed glomerulonephritis (disorder)
    399340005Hereditary nephritis (disorder)
    61165007Hereditary nephrogenic diabetes insipidus (disorder)
    236405006Hyperfiltration focal segmental glomerulosclerosis (disorder)
    51055000Hyperkalemic distal renal tubular acidosis (disorder)
    236463002Hyperkalemic renal tubular acidosis (disorder)
    86210009Hypokalemic distal renal tubular acidosis (disorder)
    54879000Hypokalemic nephropathy (disorder)
    64168005Idiopathic crescentic glomerulonephritis, type I (disorder)
    359694003Idiopathic crescentic glomerulonephritis, type II (disorder)
    55652009Idiopathic crescentic glomerulonephritis, type III (disorder)
    236394003Idiopathic endocapillary glomerulonephritis (disorder)
    445258009Idiopathic rapidly progressive glomerulonephritis (disorder)
    123752003Immune-complex glomerulonephritis (disorder)
    236407003Immunoglobulin A nephropathy (disorder)
    282364005Immunoglobulin A nephropathy associated with liver disease (disorder)
    236411009Immunoglobulin M nephropathy (disorder)
    197663003Impaired renal function disorder (disorder)
    236480003Inherited magnesium-losing nephropathy (disorder)
    236402009Ischemic glomerulopathy (disorder)
    197716006Isolated proteinuria with specified morphological lesion (finding)
    197724001Isolated proteinuria with specified morphological lesion, dense deposit disease (finding)
    197725000Isolated proteinuria with specified morphological lesion, diffuse concentric glomerulonephritis (finding)
    197722002Isolated proteinuria with specified morphological lesion, diffuse endocapillary proliferative glomerulonephritis (finding)
    197720005Isolated proteinuria with specified morphological lesion, diffuse membranous glomerulonephritis (finding)
    197721009Isolated proteinuria with specified morphological lesion, diffuse mesangial proliferative glomerulonephritis (finding)
    197723007Isolated proteinuria with specified morphological lesion, diffuse mesangiocapillary glomerulonephritis (finding)
    197719004Isolated proteinuria with specified morphological lesion, focal and segmental glomerular lesions (finding)
    197717002Isolated proteinuria with specified morphological lesion, minor glomerular abnormality (finding)
    446923008Lipoprotein glomerulopathy (disorder)
    236479001Magnesium-losing nephropathy (disorder)
    236508005Malignancy-associated glomerulonephritis (disorder)
    81363003Malignant arteriolar nephrosclerosis (disorder)
    236413007Membranous glomerulonephritis - stage I (disorder)
    236414001Membranous glomerulonephritis - stage II (disorder)
    236415000Membranous glomerulonephritis - stage III (disorder)
    236416004Membranous glomerulonephritis - stage IV (disorder)
    77182004Membranous glomerulonephritis (disorder)
    236417008Membranous glomerulonephritis stage V (disorder)
    35546006Mesangial proliferative glomerulonephritis (disorder)
    80321008Mesangiocapillary glomerulonephritis (disorder)
    236409000Mesangiocapillary glomerulonephritis type III (disorder)
    236410005Mesangiocapillary glomerulonephritis type IV (disorder)
    75888001Mesangiocapillary glomerulonephritis, type I (disorder)
    59479006Mesangiocapillary glomerulonephritis, type II (disorder)
    44785005Minimal change disease (disorder)
    1426004Necrotizing glomerulonephritis (disorder)
    7724006Nephritic syndrome (disorder)
    52845002Nephritis (disorder)
    197577008Nephritis, nephrosis and nephrotic syndrome (disorder)
    111395007Nephrogenic diabetes insipidus (disorder)
    52254009Nephrotic syndrome (disorder)
    197603000Nephrotic syndrome associated with another disorder (disorder)
    197605007Nephrotic syndrome in diabetes mellitus (disorder)
    197607004Nephrotic syndrome in polyarteritis nodosa (disorder)
    363234001Nephrotic syndrome secondary to systemic disease (disorder)
    197591002Nephrotic syndrome with membranoproliferative glomerulonephritis (disorder)
    197590001Nephrotic syndrome with membranous glomerulonephritis (disorder)
    266549004Nephrotic syndrome with minimal change glomerulonephritis (disorder)
    197589005Nephrotic syndrome with proliferative glomerulonephritis (disorder)
    197599000Nephrotic syndrome, dense deposit disease (disorder)
    197600002Nephrotic syndrome, diffuse crescentic glomerulonephritis (disorder)
    197597003Nephrotic syndrome, diffuse endocapillary proliferative glomerulonephritis (disorder)
    197595006Nephrotic syndrome, diffuse membranous glomerulonephritis (disorder)
    197596007Nephrotic syndrome, diffuse mesangial proliferative glomerulonephritis (disorder)
    197598008Nephrotic syndrome, diffuse mesangiocapillary glomerulonephritis (disorder)
    197594005Nephrotic syndrome, focal and segmental glomerular lesions (disorder)
    197593004Nephrotic syndrome, minor glomerular abnormality (disorder)
    40233000Nephrotic-nephritic syndrome (disorder)
    63510008Nodular type diabetic glomerulosclerosis (disorder)
    399190000Non-progressive hereditary glomerulonephritis (disorder)
    197664009Phosphate-losing tubular disorders (disorder)
    236397005Post-infectious glomerulonephritis - Garland variety (disorder)
    236395002Post-infectious glomerulonephritis (disorder)
    68779003Primary immunoglobulin A nephropathy (disorder)
    239932005Primary pauci-immune necrotizing and crescentic glomerulonephritis (disorder)
    236419006Progressive hereditary glomerulonephritis without deafness (disorder)
    441815006Proliferative glomerulonephritis (disorder)
    370494002Protein-losing nephropathy (disorder)
    24790002Proximal renal tubular acidosis (disorder)
    236392004Rapidly progressive glomerulonephritis (disorder)
    197689003Rapidly progressive nephritic syndrome (disorder)
    197696001Rapidly progressive nephritic syndrome, dense deposit disease (disorder)
    197697005Rapidly progressive nephritic syndrome, diffuse crescentic glomerulonephritis (disorder)
    197694003Rapidly progressive nephritic syndrome, diffuse endocapillary proliferative glomerulonephritis (disorder)
    197692004Rapidly progressive nephritic syndrome, diffuse membranous glomerulonephritis (disorder)
    197693009Rapidly progressive nephritic syndrome, diffuse mesangial proliferative glomerulonephritis (disorder)
    197695002Rapidly progressive nephritic syndrome, diffuse mesangiocapillary glomerulonephritis (disorder)
    197691006Rapidly progressive nephritic syndrome, focal and segmental glomerular lesions (disorder)
    197690007Rapidly progressive nephritic syndrome, minor glomerular abnormality (disorder)
    197705004Recurrent and persistent hematuria, dense deposit disease (disorder)
    197706003Recurrent and persistent hematuria, diffuse crescentic glomerulonephritis (disorder)
    197703006Recurrent and persistent hematuria, diffuse endocapillary proliferative glomerulonephritis (disorder)
    197701008Recurrent and persistent hematuria, diffuse membranous glomerulonephritis (disorder)
    197702001Recurrent and persistent hematuria, diffuse mesangial proliferative glomerulonephritis (disorder)
    197704000Recurrent and persistent hematuria, diffuse mesangiocapillary glomerulonephritis (disorder)
    197700009Recurrent and persistent hematuria, focal and segmental glomerular lesions (disorder)
    197699008Recurrent and persistent hematuria, minor glomerular abnormality (disorder)
    197671004Renal function impairment with growth failure (disorder)
    16726004Renal osteodystrophy (disorder)
    1776003Renal tubular acidosis (disorder)
    7703001Renal tubular defect (disorder)
    425384007Sarcoidosis with glomerulonephritis (disorder)
    13335004Sclerosing glomerulonephritis (disorder)
    37085009Shunt nephritis (disorder)
    236401002Steroid-dependent minimal change glomerulonephritis (disorder)
    236382007Steroid-dependent nephrotic syndrome (disorder)
    236400001Steroid-resistant minimal change glomerulonephritis (disorder)
    236381000Steroid-resistant nephrotic syndrome (disorder)
    236399008Steroid-sensitive minimal change glomerulonephritis (disorder)
    236380004Steroid-sensitive nephrotic syndrome (disorder)
    236437007Structural and functional abnormalities of the kidney (disorder)
    123609007Subacute glomerulonephritis (disorder)
    236418003Thin basement membrane disease (disorder)
    236588007Transplant glomerulopathy - early form (disorder)
    236589004Transplant glomerulopathy - late form (disorder)
    236587002Transplant glomerulopathy (disorder)
    • Diabetic Nephropathy Diagnosis Code (with attached SNOMED) that occurs before or during the measurement period
    ICD-9: 
    CodeDescription
    250.4Diabetes with renal menifestations
    250.41Diabetes with renal manifestations, type I [juvenile type], not stated as uncontrolled
    250.42Diabetes with renal manifestations, type II or unspecified type, uncontrolled
    250.43Diabetes with renal manifestations, type I [juvenile type], uncontrolled
    ICD-10:  
    CodeDescription
    E08.21Diabetes mellitus due to underlying condition with diabetic nephropathy
    E08.22Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
    E08.29Diabetes mellitus due to underlying condition with other diabetic kidney complication
    E09.21Drug or chemical induced diabetes mellitus with diabetic nephropathy
    E09.22Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
    E09.29Drug or chemical induced diabetes mellitus with other diabetic kidney complication
    E10.21Type 1 diabetes mellitus with diabetic nephropathy
    E10.22Type 1 diabetes mellitus with diabetic chronic kidney disease
    E10.29Type 1 diabetes mellitus with other diabetic kidney complication
    E11.21Type 2 diabetes mellitus with diabetic nephropathy
    E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease
    E11.29Type 2 diabetes mellitus with other diabetic kidney complication
    E13.21Other specified diabetes mellitus with diabetic nephropathy
    E13.22Other specified diabetes mellitus with diabetic chronic kidney disease
    E13.29Other specified diabetes mellitus with other diabetic kidney complication
    SNOMED: 
    CodeDescription
    127013003Diabetic renal disease (disorder)
    38046004Diffuse type diabetic glomerulosclerosis (disorder)
    445170001Macroalbuminuric diabetic nephropathy (disorder)
    236499007Microalbuminuric diabetic nephropathy (disorder)
    421305000Persistent microalbuminuria associated with type I diabetes mellitus (disorder)
    420715001Persistent microalbuminuria associated with type II diabetes mellitus (disorder)
    420514000Persistent proteinuria associated with type I diabetes mellitus (disorder)
    421986006Persistent proteinuria associated with type II diabetes mellitus (disorder)
    236500003Proteinuric diabetic nephropathy (disorder)
    401110002Type 1 diabetes mellitus with persistent microalbuminuria (disorder)
    • Proteinuria Diagnosis Code (with attached SNOMED) that occurs before or during the measurement period
    ICD-9:   
    Code Description
    791.0 Proteinuria
    ICD-10:  
    Code Description
    R80.1 Persistent proteinuria, unspecified
    R80.8 Other proteinuria
    R80.9 Proteinuria, unspecified
    SNOMED:  
    Code Description
    274769005 Albuminuria (finding)
    312975006 Microalbuminuria (finding)
    263808002 Microproteinuria (finding)
    34993002 Mixed proteinuria (finding)
    12178007 Nephrogenous proteinuria (finding)
    264867001 Nephrotic range proteinuria (finding)
    29738008 Proteinuria (finding)
    167582007 Urine microalbumin positive (finding)
    • Procedure that Indicates Screening for Nephropathy (CPT or SNOMED) that occurs during the measurement period
    CPT:  
    CodeDescription
    36147Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection[s] of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava)
    36148Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); additional access for therapeutic intervention (List separately in addition to code for primary procedure)
    36800Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein
    36810Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)
    36815Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure
    36818Arteriovenous anastomosis, open; by upper arm cephalic vein transposition
    36819Arteriovenous anastomosis, open; by upper arm basilic vein transposition
    36820Arteriovenous anastomosis, open; by forearm vein transposition
    36821Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)
    36831Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)
    36832Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)
    36833Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)
    50340Recipient nephrectomy (separate procedure)
    50360Renal allotransplantation, implantation of graft; without recipient nephrectomy
    50365Renal allotransplantation, implantation of graft; with recipient nephrectomy
    50370Removal of transplanted renal allograft
    50380Renal autotransplantation, reimplantation of kidney
    90920End-stage renal disease (ESRD) related services per full month; for patients between twelve and nineteen years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
    90921End-stage renal disease (ESRD) related services per full month; for patients twenty years of age and over
    90924End-stage renal disease (ESRD) related services (less than full month), per day; for patients between twelve and nineteen years of age
    90925End-stage renal disease (ESRD) related services (less than full month), per day; for patients twenty years of age and over
    90935Hemodialysis procedure with single evaluation by a physician or other qualified health care professional
    90937Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription
    90940Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method
    90945Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional
    90947Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified health care professional, with or without substantial revision of dialysis prescription
    90957End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month
    90958End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month
    90959End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month
    90960End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month
    90961End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month
    90962End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month
    90965End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
    90966End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older
    90969End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age
    90970End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older
    90989Dialysis training, patient, including helper where applicable, any mode, completed course
    90993Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session
    90997Hemoperfusion (eg, with activated charcoal or resin)
    90999Unlisted dialysis procedure, inpatient or outpatient
    99512Home visit for hemodialysis
    G0257Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility
    SNOMED:  
    CodeDescription
    676002Peritoneal dialysis including cannulation (procedure)
    676002Peritoneal dialysis including cannulation (procedure)
    3257008Empty and measure peritoneal dialysis fluid (procedure)
    7459007Revision of arteriovenous fistula with thrombectomy with autogenous graft (procedure)
    10848006Removal of peritoneal dialysis catheter (procedure)
    11932001Stabilizing hemodialysis (procedure)
    14684005Peritoneal dialysis excluding cannulation (procedure)
    22800003Removal of thrombus from arteriovenous shunt or cannula (procedure)
    28812006Hemodialysis education (procedure)
    34163007Revision of arteriovenous fistula with thrombectomy with nonautogenous graft (procedure)
    34897002Hemodialysis, maintenance in hospital (procedure)
    48994000Renal homotransplantation with unilateral recipient nephrectomy (situation)
    52213001Renal homotransplantation excluding donor and recipient nephrectomy (procedure)
    54817007Arteriovenous shunt for renal dialysis by external cannula (procedure)
    57274006Initial hemodialysis (procedure)
    59596005Hemodialysis education at home (procedure)
    61160002Direct arteriovenous anastomosis (procedure)
    61740001Insertion of cannula for hemodialysis, vein to vein (procedure)
    63421002Insertion of cannula for hemodialysis (procedure)
    66402002Peritoneal dialysis education (procedure)
    67970008Hemodialysis, maintenance at home (procedure)
    68341005Hemodialysis, supervision at home (procedure)
    69380006Venous catheterization for renal dialysis (procedure)
    70536003Transplant of kidney (procedure)
    71192002Peritoneal dialysis (procedure)
    73257006Peritoneal dialysis catheter maintenance (procedure)
    79827002Arteriovenous anastomosis for renal dialysis (procedure)
    80634002Revision of vessel-to-vessel arteriovenous cannula (procedure)
    88930008Total nephrectomy in recipient (procedure)
    108241001Dialysis procedure (procedure)
    175899003Autotransplantation of kidney (procedure)
    175901007Live donor renal transplant (procedure)
    175902000Cadaveric renal transplant (procedure)
    180272001Insertion of chronic ambulatory peritoneal dialysis catheter (procedure)
    180273006Removal of chronic ambulatory peritoneal dialysis catheter (procedure)
    180277007Insertion of temporary peritoneal dialysis catheter (procedure)
    225230008Chronic peritoneal dialysis (procedure)
    225231007Stab peritoneal dialysis (procedure)
    225892009Revision of arteriovenous shunt for renal dialysis (procedure)
    233468004Creation of Cimino fistula (procedure)
    233471007Creation of external arteriovenous shunt (procedure)
    233472000Creation of Scribner shunt (procedure)
    233547003Cannulation of arteriovenous dialysis fistula (procedure)
    233575001Intermittent hemodialysis (procedure)
    233576000Intermittent hemodialysis with sequential ultrafiltration (procedure)
    233577009Intermittent hemodialysis with continuous ultrafiltration (procedure)
    233578004Continuous hemodialysis (procedure)
    233579007Continuous arteriovenous hemodialysis (procedure)
    233580005Continuous venovenous hemodialysis (procedure)
    233581009Hemofiltration (procedure)
    233582002Intermittent hemofiltration (procedure)
    233583007Continuous hemofiltration (procedure)
    233584001Continuous arteriovenous hemofiltration (procedure)
    233585000Continuous venovenous hemofiltration (procedure)
    233586004Hemodiafiltration (procedure)
    233587008Intermittent hemodiafiltration (procedure)
    233588003Continuous hemodiafiltration (procedure)
    233589006Continuous arteriovenous hemodiafiltration (procedure)
    233590002Continuous venovenous hemodiafiltration (procedure)
    233591003Hemoperfusion (procedure)
    236138007Xenograft renal transplant (procedure)
    238314006Renewal of chronic ambulatory peritoneal dialysis catheter (procedure)
    238315007Adjustment of chronic ambulatory peritoneal dialysis catheter (procedure)
    238316008Aspiration of chronic ambulatory peritoneal dialysis catheter (procedure)
    238317004Flushing of chronic ambulatory peritoneal dialysis catheter (procedure)
    238318009Continuous ambulatory peritoneal dialysis (procedure)
    238319001Continuous cycling peritoneal dialysis (procedure)
    238321006Intermittent peritoneal dialysis (procedure)
    238322004Tidal peritoneal dialysis (procedure)
    238323009Night-time intermittent peritoneal dialysis (procedure)
    265764009Renal dialysis (procedure)
    271418008Chronic ambulatory peritoneal dialysis catheter procedure (procedure)
    288182009Extracorporeal kidney (procedure)
    302497006Hemodialysis (procedure)
    313030004Donor renal transplantation (procedure)
    385970002Dialysis care assessment (procedure)
    385971003Dialysis care (regime/therapy)
    385972005Dialysis care education (procedure)
    385973000Dialysis care management (procedure)
    406168002Dialysis access maintenance (regime/therapy)
    426340003Creation of graft fistula for dialysis (procedure)
    427053002Extracorporeal albumin hemodialysis (procedure)
    427992007Removal of thrombus of arteriovenous fistula (procedure)
    428118009Procedure involving peritoneal dialysis catheter (procedure)
    428648006Automated peritoneal dialysis (procedure)
    431418000Fluoroscopic percutaneous angiography of dialysis fistula with insertion of drug eluting stent (procedure)
    431440009Fluoroscopic angiography of dialysis fistula using contrast with insertion of stent (procedure)
    431781000Insertion of tunneled dialysis catheter using fluoroscopic guidance (procedure)
    432509002Insertion of dialysis catheter using doppler ultrasound guidance (procedure)
    432654009Insertion of peritoneal dialysis catheter using fluoroscopy guidance (procedure)
    434435000Fluoroscopic angiography of dialysis fistula using contrast with insertion of stent graft (procedure)
    438341004Laparoscopic insertion of peritoneal dialysis catheter (procedure)
    438342006Replacement of peritoneal dialysis catheter (procedure)
    439241008Open arteriovenous anastomosis by transposition of forearm vein (procedure)
    439278006Measurement of static venous pressure in hemodialysis vascular access (procedure)
    439322008Open arteriovenous anastomosis by transposition of basilic vein of upper arm (procedure)
    439349008Open arteriovenous anastomosis by transposition of cephalic vein of upper arm (procedure)
    439534001Shaving of peritoneal dialysis catheter cuff (procedure)
    439976001Measurement of recirculation in hemodialysis vascular access (procedure)
    443683004Open revision of arteriovenous fistula using graft with removal of thrombus (procedure)
    448591002Repositioning of Tenckhoff catheter (procedure)
    449400003Removal of blood clot from arteriovenous fistula (procedure)
    450865002Insertion of nontunneled hemodialysis catheter (procedure)
    251000124108Dialysis care plan (regime/therapy)
    311000124103Peritoneal dialysis care plan (regime/therapy)
    • Urine Protein Test Result (with attached LOINC Code)that occurs during the reporting period
    LOINC:  
    CodeDescription
    11218-5Microalbumin [Mass/volume] in Urine by Test strip
    12842-1Protein [Mass/volume] in 12 hour Urine
    13705-9Albumin/Creatinine [Mass Ratio] in 24 hour Urine
    13801-6Protein/Creatinine [Mass Ratio] in 24 hour Urine
    14585-4Albumin/Creatinine [Molar ratio] in Urine
    14956-7Microalbumin [Mass/time] in 24 hour Urine
    14957-5Microalbumin [Mass/volume] in Urine
    14958-3Microalbumin/Creatinine [Mass Ratio] in 24 hour Urine
    14959-1Microalbumin/Creatinine [Mass Ratio] in Urine
    1753-3Albumin [Presence] in Urine
    1754-1Albumin [Mass/volume] in Urine
    1755-8Albumin [Mass/time] in 24 hour Urine
    1757-4Albumin renal clearance in 24 hour
    18373-1Protein [Mass/time] in 6 hour Urine
    20621-9Albumin/Creatinine [Presence] in Urine by Test strip
    21059-1Albumin [Mass/volume] in 24 hour Urine
    21482-5Protein [Mass/volume] in 24 hour Urine
    26801-1Protein [Mass/time] in 12 hour Urine
    27298-9Protein [Units/volume] in Urine
    2887-8Protein [Presence] in Urine
    2888-6Protein [Mass/volume] in Urine
    2889-4Protein [Mass/time] in 24 hour Urine
    2890-2Protein/Creatinine [Mass Ratio] in Urine
    30000-4Microalbumin/Creatinine [Ratio] in Urine
    30001-2Microalbumin/Creatinine [Ratio] in Urine by Test strip
    30003-8Microalbumin [Mass/volume] in 24 hour Urine
    32209-9Protein [Presence] in 24 hour Urine by Test strip
    32294-1Albumin/Creatinine [Ratio] in Urine
    32551-4Protein [Mass] in unspecified time Urine
    34366-5Protein/Creatinine [Ratio] in Urine
    35663-4Protein [Mass/volume] in unspecified time Urine
    40486-3Protein/Creatinine [Ratio] in 24 hour Urine
    40662-9Protein [Mass/time] in 12 hour Urine --resting
    40663-7Protein [Mass/time] in 12 hour Urine --upright
    43605-5Microalbumin [Mass/volume] in 4 hour Urine
    43606-3Microalbumin [Mass/time] in 4 hour Urine
    43607-1Microalbumin [Mass/time] in 12 hour Urine
    44292-1Microalbumin/Creatinine [Mass Ratio] in 12 hour Urine
    47558-2Microalbumin/Protein.total in 24 hour Urine
    49023-5Microalbumin [Mass/time] in unspecified time Urine
    50561-0Protein [Mass/volume] in Urine by Automated test strip
    50949-7Albumin [Presence] in Urine by Test strip
    53121-0Protein [Mass/time] in 1 hour Urine
    53530-2Microalbumin [Mass/volume] in 24 hour Urine by Detection limit <= 1.0 mg/L
    53531-0Microalbumin [Mass/volume] in Urine by Detection limit <= 1.0 mg/L
    53532-8Microalbumin [Mass/time] in 24 hour Urine by Detection limit <= 1.0 mg/L
    56553-1Microalbumin [Mass/time] in 8 hour Urine
    5804-0Protein [Mass/volume] in Urine by Test strip
    58448-2Microalbumin ug/min [Mass/time] in 24 hour Urine
    58992-9Protein [Mass/time] in 18 hour Urine
    59159-4Microalbumin/Creatinine [Ratio] in 24 hour Urine
    60678-0Protein/Creatinine [Mass Ratio] in 12 hour Urine
    63474-1Microalbumin [Mass/time] in 18 hour Urine

    *ADDITIONAL INFORMATION:

    •  The only data used to determine the denominator is data from the ChartMaker Clinical Module. If a patient encounter was not entered into the ChartMaker Clinical Module, that encounter is not included in the denominator for the statistical calculations on the Meaningful Use Dashboard. Please add these additional patients to the denominator and recalculate the percentage for Attestation purposes.

    •  Only patients with a diagnosis of Type 1 or Type 2 diabetes should be included in the denominator of this measure; patients with a diagnosis of secondary diabetes due to another condition should not be included

    •  The patient must be between 18 and 75 before the start of the measurement period

    •  The LOINC codes required for the Numerator can be linked to either an applicable electronic lab result condition or a numeric template field.

    •  Any condition being indicated as a result with an attached LOINC code MUST be marked as a result in the properties of that condition.  A condition should NOT be marked as both a result and an order (tracking).

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