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K045
K045 – Diabetes management by a specialist
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Diabetes Management by a specialist is a service rendered by a specialist in Endocrinology, Internal Medicine or Paediatrics who is most responsible for providing ongoing management of a diabetic patient. This service includes all services related to the coordination, provision and documentation of ongoing management using a planned care approach consistent with the required elements of the current Canadian Diabetes Association (CDA) Clinical Practice Guidelines.
A flow sheet and/or a diabetic registry record must be completed for the previous 12 month period and maintained in the patient's permanent medical record. The record must document that all of the CDA required elements have been provided and include, at a minimum, the following:
• a. Lipids, cholesterol, HbA1C, blood pressure, weight and body mass index (BMI), and medication dosage;
• b. Discussion and offer of preventive measures including vascular protection, influenza and pneumococcal vaccination;
• c. Health promotion counselling and patient self-management support;
• d. Albumin to creatinine ratio (ACR);
• e. Discussion and offer of referral for dilated eye examination; and
• f. Foot examination and neurologic examination.
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