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Adult(s) taking insulin with evidence of self-monitoring blood glucose testing.

CBE ID
0603
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

This measure identifies patients with diabetes mellitus taking insulin that had evidence of self-monitoring blood glucose testing in last 12 reported months.

        • 1.14 Numerator

          Did the patient fill a prescription for any of the following during the following time period: last 12 months of the report period through 90 days after the end of the report period?
          ? Glucometers (RX-175)
          ? Blood Glucose Test Strips (RX-176)

          Time Window: 12 months prior to the end of the report period through 90 days after the end of the report period

        • 1.15 Denominator

          Adults with diabetes who are taking insulin as defined below:
          Time Window:
          1. The 24 months prior to the end of the report period is used to identify patients with diabetes.
          2. The last 120 days of the report period through 90 days after the end of the report period is used to identify insulin using population

        • Exclusions

          1. Absence of a prescription for Insulin (code set RX-59) during the following time period: last 120 days of the report period through 90 days after the end of the report period?
          2. During the 12 months prior to the end of the report period, did the patient have 1 or more of the following services or events, where the diagnosis was Polycystic Ovaries (code set DX0312), Gestational Diabetes (DX0313), or Steroid-induced Diabetes (DX0314):
          ? Professional Encounter Code Set (code set PR0107, RV0107)
          ? Professional Supervision (code set PR0108)
          ? Facility Event – Confinement/Admission
          ? Facility Event – Emergency Room
          ? Facility Event – Outpatient Surgery

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Endocrine Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date