Code List: CMS148v5, Hemoglobin A1c Test for Pediatric Patients

MicroMD uses the following code lists to determine a patient’s inclusion in this measure. To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

Item	Codes
Diagnosis Codes
Diagnosis: Diabetes: ICD-9	250.00, 250.01, 250.02, 250.03, 250.10, 250.11, 250.12, 250.13, 250.20, 250.21, 250.22, 250.23, 250.30, 250.31, 250.32, 250.33, 250.41, 250.42, 250.43, 250.50, 250.51, 250.52, 250.53, 250.60, 250.61, 250.62, 250.63, 250.70, 250.71, 250.72, 250.73, 250.80, 250.81, 250.82, 250.83, 250.90, 250.91, 250.92, 250.93, 648.01, 648.02, 648.03, 648.04
Diagnosis: Diabetes: ICD-10	E10.10, E10.11, E10.21, E10.22, E10.29, E10.311, E10.319, E10.321, E10.329, E10.331, E10.339, E10.341, E10.349, E10.351, E10.359, E10.36, E10.39, E10.40, E10.41, E10.42, E10.43, E10.44, E10.49, E10.51, E10.52, E10.59, E10.610, E10.618, E10.620, E10.621, E10.622, E10.628, E10.630, E10.638, E10.641, E10.649, E10.65, E10.69, E10.8, E10.9, E11.00, E11.01, E11.21, E11.22, E11.29, E11.311, E11.319, E11.321, E11.329, E11.331, E11.339, E11.341, E11.349, E11.351, E11.359, E11.36, E11.39, E11.40, E11.41, E11.42, E11.43, E11.44, E11.49, E11.51, E11.52, E11.59, E11.610, E11.618, E11.620, E11.621, E11.622, E11.628, E11.630, E11.638, E11.641, E11.649, E11.65, E11.69, E11.8, E11.9, E13.00, E13.01, E13.10, E13.11, E13.21, E13.22, E13.29, E13.311, E13.319, E13.321, E13.329, E13.331, E13.339, E13.341, E13.349, E13.351, E13.359, E13.36, E13.39, E13.40, E13.41, E13.42, E13.43, E13.44, E13.49, E13.51, E13.52, E13.59, E13.610, E13.618, E13.620, E13.621, E13.622, E13.628, E13.630, E13.638, E13.641, E13.649, E13.65, E13.69, E13.8, E13.9, O24.011, O24.012, O24.013, O24.019, O24.02, O24.03, O24.111, O24.112, O24.113, O24.119, O24.12, O24.13, O24.311, O24.312, O24.313, O24.319, O24.32, O24.33, O24.811, O24.812, O24.813, O24.819, O24.82, O24.83
Diagnosis: Diabetes: SNOMED	190330002, 190331003, 190368000, 190369008, 190372001, 190389009, 190390000, 199223000, 199225007, 199226008, 199227004, 199228009, 199229001, 199230006, 23045005, 237599002, 237618001, 237626009, 237627000, 28032008, 313435000, 313436004, 314771006, 314772004, 314893005, 314894004, 314902007, 314903002, 314904008, 359642000, 359939009, 44054006, 46635009, 4783006, 75682002, 76751001, 81531005, 9859006
Diagnosis Codes
Encounter, Performed: Office Visit: CPT	99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Face-to-Face Interaction: SNOMED	12843005, 18170008, 19681004, 87790002, 90526000, 185349003, 185463005, 185465003, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006
Encounter, Performed: Critical Care Management: CPT	99291
Encounter, Performed: Discharge Services – Hospital Inpatient: CPT	99238, 99239
Encounter, Performed: Discharge Services- Observation Care: CPT	99217
Encounter, Performed: Emergency Department Visit: CPT	99281, 99282, 99283, 99284, 99285
Encounter, Performed: Emergency Department Interaction: SNOMED	4525004
Encounter, Performed: Home Healthcare Services: CPT	99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350
Encounter, Performed: Hospital Inpatient Visit – Initial: CPT	99221, 99222, 99223
Encounter, Performed: Hospital Inpatient Visit Subsequent: CPT	99231, 99232, 99233
Encounter, Performed: Hospital Observation Care – Initial: CPT	99218, 99219, 99220
Encounter, Performed: Inpatient Consultation: CPT	99251, 99252, 99253, 99254, 99255
Encounter, Performed: Ophthalmologic Outpatient Visit: CPT	92002, 92004, 92012, 92014
Encounter, Performed: Ophthalmologic Outpatient Visit: SNOMED	25434003, 36228007, 66902005, 78831002, 225687009, 252833009, 252835002, 252836001, 268360001, 397532009, 397533004
Encounter, Performed: Preventive Care – Established Office Visit, 0 to 17: CPT	99391, 99392, 99393, 99394
Encounter, Performed: Preventive Care- Initial Office Visit, 0 to 17: CPT	99381, 99382, 99383, 99384
Encounter, Performed: Preventive Care Services – Other: CPT	99420, 99429
Encounter, Performed: Preventive Care Services-Individual Counseling: CPT	99401, 99402, 99403, 99404
Encounter, Performed: Outpatient Consultation: CPT	99241, 99242, 99243, 99244, 99245
Laboratory Test LOINC Codes
Laboratory Test, Result: HbA1c Laboratory Test: LOINC	17855-8, 17856-6, 4548-4