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K046
K046 – Diabetes team management
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
This is an annual fee payable to a specialist in internal medicine or endocrinology for the comprehensive team-based care of a patient with diabetes. The diabetes management team must include the specialist most responsible for the diabetes management of the patient and at least one or more Certified Diabetes Educators (CDE). K046 includes all services related to the coordination, provision and documentation of all required elements of ongoing care, as necessary, by the physician and/or the CDE.
The record must include a flow sheet and/or a diabetic registry record meeting the published Standards of Care as defined in the Canadian Diabetes Association Clinical Practice Guidelines.
The minimum required elements of the diabetes flow sheet include:
• Laboratory parameters including:
• Lipid profile (cholesterol, triglycerides);
• glycosylated haemoglobin (HgbA1C);
• albumin to creatinine ratio (ACR; and
• estimated glomerular filtration rate (eGFR) or Creatinine Clearance (CrCl)
• Blood pressure;
• Height, weight and body mass index (BMI);
• Medications (including dosage);
• Services related to prevention of diabetic complications;
• Health promotion counselling and patient self-management support;
• Evaluation and referral, as necessary, for dilated eye examination;
• Foot examination; and
• Neurological examination
The physician must document the services rendered by the CDE. The physician must provide such documentation to the ministry, if requested.
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