Table 1

Definition of seven annual diabetes care processes

Diabetes care processDefinitionGuidelines3
Blood pressure (BP)At least one recorded value for systolic or diastolic BP per year<130/80 mm Hg
HbA1cAt least one recorded value for HbA1c per year<7.0%
CholesterolAt least one recorded value for cholesterol per yearLDL<100 mg/dL
CreatinineAt least one recorded value for creatinine per yearUsed to estimate eGFR*
Urine-albumin-creatinine ratio (UACR)At least one recorded value for UACR per year<30 mg/g
Eye examination†At least one procedure code record for eye examination per yearn/a
Foot examination‡At least one procedure code record for foot examination per yearn/a
  • *There are no guideline-specific cut-offs for creatinine. Instead, in combination with other factors such as age, sex and body surface area, creatinine is used to determine the estimated glomerular filtration rate (eGFR). The Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation is preferred. eGFR is not reported here.

  • †CPT codes: 92002, 92004, 92012, 92014, 92015, 99172 and 99173.

  • ‡CPT codes: G0245, G0246, G0247, G9226, 11055, 11056, 11057, 11719, 11720, 11721, S0390

  • CPT, Current Procedural Terminology; LDL, low-density lipoprotein.