ICD-10-CM and ICD-10-PCS Changes Effective October 1, 2016

Because it has been 4 years since the last annual update of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and because 2016 is the first year for the Centers for Medicare & Medicaid Services (CMS) to make updates to ICD-10-CM, CMS made many edits to the classification’s code set. On October 1, 2016, International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) will include 3651 new codes and 487 revisedcodes,1 and …

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Original Research: Early Diabetes Screening in the Urgent Care, Part 1

Original Research: Early Diabetes Screening in the Urgent Care, Part 1

Urgent message: Undiagnosed type 2 diabetes mellitus affects more than 9 million Americans. This first part of a two-part article focuses on evaluation of diabetes screening for the adult urgent care patient in whom diabetes has not been diagnosed, using effective early disease-detection strategies to reduce the long-term burden of diabetes. How this article helps you: by providing data to assist you in deciding about screening in your center. Introduction There are now more than …

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Diabetes Mellitus: Current Diagnosis, Screening and Management Issues in Urgent Care

Urgent Message: Diabetes mellitus is a common, complex and important condition frequently encountered in the urgent care setting. This article reviews current diagnostic criteria for diabetes and prediabetes and types of diabetes and discusses issues related to screening for diabetes and management issues relevant to urgent care. The authors previously reviewed the management of acute hyperglycemia in the July/August 2012 issue of JUCM. Author: Anthony J. Pick, MD, CDE and David L. Pick, MD, FAAFP …

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37-year-old diabetic female feeling weak after switching diuretics

37-year-old diabetic female feeling weak after switching diuretics

The patient is a 37-year-old female who presented with a history of longstanding hypertension and diabetes mellitus. She had recently started on a new diuretic, and felt very weak and lightheaded. Her blood pressure was 88/56 mmHg with a pulse of 44 beats per minute. After reviewing the ECG, consider the following questions: 1. Based on this ECG, what type of diuretic is she likely to be taking? 2. How should she be managed?

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Diabetic Emergencies in the Urgent Care Setting

Diabetic Emergencies in the Urgent Care Setting

Urgent message: Patients with glucose levels either too high or too low often require immediate, potentially life-saving interventions in the urgent care setting. These patients are often found to be diabetic. Allan F. Moore, MD, Nicolas Abourizk, MD, Jeffrey Collins, MD, MA Diabetes is a common chronic disease affecting approximately 7% of the United States population. Of these individuals, 17.5 million carry a diagnosis of diabetes and over 6 million are undiagnosed. An estimated 54 …

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