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A call for specific codes for diabetes foot and eye care
J A Mayfield1, T Strand, A R Toya
1Department of Family Medicine, Bowen Research Center, Indiana University-Purdue University at Indianapolis, USA.
Diabetes Care
|March 1, 1995
Summary
New International Classification of Diseases (ICD) codes are proposed to enhance diabetes care monitoring. These codes will improve tracking of preventive practices and patient outcomes, aiding quality assessment and care delivery.
Area of Science:
- Health Informatics
- Public Health
- Endocrinology
Background:
- Current International Classification of Diseases (ICD) versions lack specific codes for crucial diabetes care elements.
- Essential procedures like foot and funduscopic examinations in asymptomatic individuals are not distinctly coded.
- High-risk diabetic foot status and clinically significant macular edema also lack specific ICD code representation.
Purpose of the Study:
- To propose novel International Classification of Diseases (ICD) codes for enhanced diabetes care monitoring.
- To facilitate the integration of these codes into computer-based patient records and administrative data systems.
- To enable better surveillance, program planning, and quality assessment of diabetes care.
Main Methods:
- Analysis of existing ICD-9 and ICD-10 limitations regarding diabetes care documentation.
- Proposal of new ICD code categories for specific examinations, conditions, and care processes.
- Conceptual framework for integrating proposed codes into electronic health records and health information systems.
Main Results:
- Identification of key gaps in current ICD coding for diabetes preventive care and high-risk conditions.
- Development of a framework for new ICD codes covering foot examinations, funduscopic examinations, high-risk diabetic foot status, and macular edema.
- Demonstration of how these codes can support computerized monitoring, reminders, and quality assessment.
Conclusions:
- Adoption of proposed ICD codes is essential for improving diabetes care surveillance and quality assessment.
- Computerized systems can leverage these codes for patient and provider reminders, enhancing compliance.
- Standardized coding will facilitate comparative analysis of diabetes care across different healthcare systems and regions.