CKD-4.2 Increase the proportion of persons with type 1 or type 2 diabetes and chronic kidney disease who receive medical evaluation with serum creatinine, microalbuminuria, A1c, lipids, and eye examinations
About the Data
Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.
Number of persons aged 65 years and over with type 1 or type 2 diabetes and chronic kidney disease who receive medical evaluation with serum creatinine, microalbuminuria, A1c, lipids, and eye examinations
Number of persons aged 65 years and over with type 1 or type 2 diabetes and chronic kidney disease
The data to track this objective come from the United States Renal Data System (USRDS) 5% Medicare sample. The methods and codes used to determine rates of glycosylated hemoglobin (A1c) testing and eye examinations are taken from the Health Effectiveness and Data Information Set (HEDIS) 2008 specifications. HEDIS 2008, a program of the National Committee for Quality Assurance (NCQA), is used to monitor the performance of managed health care plans.
CPT codes 83036 and 83037 are used to identify A1c testing. Codes used to identify diabetic eye examinations are as follows: CPT codes, 92002, 92004, 92012, 92014, 92018, 92019, 92225, 92226, 92230, 92235, 92240, 92250, 92260, 67101, 67105, 67107, 67108, 67110, 67112, 67141, 67145, 67208, 67210, 67218, 67227, 67228, 67028, 67030, 67031, 67036, 67038, 67039, 67041, 67042, 67043, 67113, 67121, 67221, 67228, S0625, S0620, S0621, and S3000; ICD-9-CM procedure codes, 14.1–14.5, 14.9, 95.02, 95.03, 95.04, 95.11, 95.12, and 95.16; and ICD-9-CM diagnosis code V72.0.
The USRDS data, data collection procedures, calculation methods, and other technical information are included in the USRDS Annual Data Report.
Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.
Additional resources about the objective
More information on the analytic methods used to calculate these rates can be found in Appendix A of the USRDS Annual Data Report Atlas.
- U.S. Renal Data System, USRDS 2012 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2012