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Diabetic Foot & Ankle Care, Peripheral Neuropathy – Neurological Evaluation

CBE ID
0417
1.4 Project
Endocrine Endorsement Maintenance
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Spring 2014
Is Under Review
No
1.3 Measure Description

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months

    • 1.14 Numerator

      Patients who had a lower extremity neurological exam performed at least once within 12 months
      Definition:
      Lower Extremity Neurological Exam – Consists of a documented evaluation of motor and sensory abilities and should include: 10-g monofilament plus testing any one of the following: vibration using 128-Hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold), however the clinician should perform all necessary tests to make the proper evaluation.

      Numerator Quality-Data Coding Options for Reporting Satisfactorily:
      Lower Extremity Neurological Exam Performed
      G8404: Lower extremity neurological exam performed and documented
      OR
      Lower Extremity Neurological Exam not Performed for Documented Reasons
      G8406: Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure
      OR
      Lower Extremity Neurological Exam not Performed
      G8405: Lower extremity neurological exam not performed

    • 1.15 Denominator

      All patients aged 18 years and older with a diagnosis of diabetes mellitus

    • Exclusions

      Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure, for example patient bilateral amputee, patient has condition that would not allow them to accurately respond to a neurological exam (dementia, Alzheimer´s, etc.), patient has previously documented diabetic peripheral neuropathy with loss of protective sensation.

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Endocrine Endorsement Maintenance Project
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      American Podiatric Medical Association
      Steward Organization POC Email
      [email protected]