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Percent of Medicare Enrollees with Type II Diabetes
(Year: 2010-11)
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      • FOOTNOTES:
      • Beneficiary must be enrolled in Medicare Parts A & B for at least 11 months during the year and at year end. Diabetic diagnosis must be noted in at least two outpatient or one inpatient physician encounter(s).

      • NUMERATOR DEFINITION:
      • ICD-9 diagnosis codes 250, 357.2, 362.0, 366.41, 648.0
        CPT visit codes:
        Outpatient: 92002-92014, 99201-99205, 99211-99215, 99217-99220, 99241-99245, 99341-99345, 99347-99350, 99384-99387, 99394-99397, 99401-99404, 99411, 99412, 99420, 99429, 99455, 99456
        Non-acute inpatient: 99304-99310, 99315, 99316, 99318, 99324-99328, 99334-99337
        Acute inpatient: 99221-99223, 99231-99233, 99238, 99239, 99251-99255, 99291
        Emergency department: 99281-99285"
        Revenue center codes:
        Outpatient: 051x, 0520-0523,0526-0529, 057x-059x, 082x-085x, 088x, 0982, 0983
        Non-acute inpatient: 0118, 0128, 0138, 0148, 0158, 019x, 0524, 0525, 055x, 066x
        Acute inpatient: 010x, 0110-0114, 0119, 0120-0124, 0129, 0130-0134, 0139, 0140-0144, 0149, 0150-0154, 0159, 016x, 020x,021x, 072x, 080x, 0987
        Emergency department: 045x, 0981




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