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Diabetes Center

The Deaconess Diabetes Center offers two unique programs. Through our Outpatient Program, we teach patients to control their diabetes and avoid long-term complications.Physician referral is required for participation. When patients with diabetes require hospitalization, for any reason, our Inpatient Program addresses their special needs.

  Procedure for Patient Referral
  • Physician completes Patient Referral Form and faxes it to Deaconess Diabetes Center (DDC) at 812/426-6612.
  • DDC staff contacts patient to schedule appointment.
  • DDC staff completes patient assessment and Diabetes Self-Management Training (DSMT).
  • DDC staff sends written communication to referring physician.

When completing the Patient Referral Form, please complete the following sections:

1. Identify the diagnosis and ICD-9 Code. The ICD-9-CM code must be coded to the highest level of specificity, and it must be submitted with the claim.
ICD-9 Codes for diabetes include:

TYPE 2
DIABETES CODE

TYPE 1
DIABETES CODE

TYPE 2
DIABETES CODE
Uncontrolled

TYPE 1
DIABETES CODE
Uncontrolled

Diabetes

250.00

250.01

250.02

250.03

Diabetes with Ketoacidosis

250.10

250.11

250.12

250.13

Diabetes with Hyperosmolarity

250.20

250.21

250.22

250.23

Diabetes with Coma

250.30

250.31

250.32

250.33

Diabetes with Renal Manifestations

250.40

250.41

250.42

250.43

Diabetes with Ophthalmic Manifestations

250.50

250.51

250.52

250.53

Diabetes with Neurological Manifestations

250.60

250.61

250.62

250.63

Diabetes with Peripheral Vascular Disease

250.70

250.71

250.72

250.73

Diabetes with other Specific Manifestation*

250.80

250.81

250.82

250.83

Diabetes with unspecified complication

250.90

250.91

250.92

250.93

*Includes: diabetic hypoglycemia, diabetic lipidosis, diabetic ulcer, diabeticorum necrobiosis, necrobiosis lipoidica diabeticorum, osteomyelitis due to diabetes mellitus
Additional codes:

DIABETES MELLITUS
IN PREGNANCY
648.0

GESTATIONAL
DIABETES
648.8

ABNORMAL GLUCOSE
TOLERANCE TEST
790.2

DYSMETABOLIC
SYNDROME X
277.7

2. Identify acute complications and learning barriers.

3. Identify plan of care. The physician managing the patient’s condition must certify that the services are needed under a comprehensive plan of care. Our comprehensive Diabetes Program is a year-long program that provides patients with comprehensive diabetes self-management skills and includes strategies for behavior modification.

4. Provide the desired plasma glucose and additional labs. Please identify desired target plasma glucose goals, recent results related to A1c, lipids and blood pressure.