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  1. #1

    Default wondering....

    AAPC: Back to School
    Hello i have a provider who is stating that there is now a new catagorie in regards to dm.. called high risk for dm..diagnosed by a1c ...for coding purposing we shoud be using something like...abnormal ..hemagloblin.. but really the rates they are stating for that is not abnormal per se.. so?? i am wondering if there really is a code for that???

  2. #2
    Join Date
    Apr 2007
    Loma Linda

    Default Maybe

    Maybe he is referring to the new secondary DM codes.... that would make a pt high risk?

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    No 249 for secondary diabetes is a diabetic condition due to reasons not genetic nor environmental. For example pancreatitis can impare pancreatic beta cell production which will then cause a condition of secondary diabetes... an adverse reaction to steriods can cause a shut down of the beta cells and can create secondary diabetes. before you assign this code you need to do some reasearch on what this really is. As to a code for high risk for DM I know I have read discussion regarding the need for a code, and it may even be an ICD-10 code but I do not recall having a code for this currently.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4


    Haemoglobin Ai C Hb is a parameter for detecting the diabetes melllitus level of involvement
    When you do a Hb A1C test, what's being measured is the amount of glucose molecules attached to your hemoglobin molecules.
    It is the indicator of long term glycaemic level
    The hemogoblin molecules are the ones that transport oxygen into your cells. An oxygen atom (or several) attaches to the hemogoblin molecule an then it's freed when a cell needs oxygen to, yes too many "oxy" words in here, oxydize nutrients, to gain energy.
    It it a very useful boichemical parameter in diabetes and also Geastational diabetes complicating pregnancy as a parameter to evaluate the maternal blood for fetal macrosomia wt LFD fetus, which helps in controlling the glycemic state of mother and its effect on the fetal outcome.
    we have 83036-83037, 3044F-3045F( For level)
    For Aic Management description Pleas erefer to page 542 of the CPT manual
    Last edited by preserene; 08-21-2010 at 11:11 AM.

  5. #5


    A few more info just to get to know about the guidelines and ready reckner of the values,hoping it would be helpful:

    The American Diabetes Association guidelines are similar to others in advising that the glycosylated hemoglobin test be performed at least two times a year in patients with diabetes that are meeting treatment goals (and that have stable glycemic control) and quarterly in patients with diabetes whose therapy has changed or that are not meeting glycemic goals.

    The approximate mapping between HbA1c values and eAG (estimated average glucose) measurements is given by the following equation:[16]
    eAG(mg/dl) = 28.7 ร— A1C − 46.7
    eAG(mmol/l) = 1.59 ร— A1C − 2.59
    Data in parentheses are 95% confidence intervals

    HbA1c eAG (estimated average glucose)
    (%) (mmol/L) (mg/dL)
    5 5.4 (4.2โ€“6.7) 97 (76โ€“120)
    6 7.0 (5.5โ€“8.5) 126 (100โ€“152)
    7 8.6 (6.8โ€“10.3) 154 (123โ€“185)
    8 10.2 (8.1โ€“12.1) 183 (147โ€“217)
    9 11.8 (9.4โ€“13.9) 212 (170โ€“249)
    10 13.4 (10.7โ€“15.7) 240 (193โ€“282)
    11 14.9 (12.0โ€“17.5) 269 (217โ€“314)
    12 16.5 (13.3โ€“19.3) 298 (240โ€“347)

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