• Exception reporting codes - go to this
• Foot examination exception codes - go to this
• Rationale - go to this

Age must be 17 or over with a diagnostic code for diabetes mellitus

Peripheral pulse codes (Recorded in the previous 15 months)

24E1. O/E -R.-leg pulses all present

24E2. O/E - R.femoral pulse present

24E3. O/E - R.femoral pulse absent

24E4. O/E -R.popliteal pulse present

24E5. O/E - R.popliteal pulse absent

24E6. O/E - R.post.tib.pulse present

24E7. O/E - R.post.tib pulse absent

24E8. O/E - R.dorsalis pedis present

24E9. O/E - R.dorsalis pedis absent

24EA. O/E - Absent right foot pulses

24EB. O/E - right foot pulses present

24EC. O/E - Right dorsalis pedis abnormal

24ED. O/E - Right posterior tibial pulse abnormal

24EE. O/E - Right dorsalis pedis normal

24EF. O/E - Right posterior tibial pulse normal

24F1. O/E - L.leg pulses all present

24F2. O/E - L.femoral pulse present

24F3. O/E - L.femoral pulse absent

24F4. O/E -L.popliteal pulse present

24F5. O/E - L.popliteal pulse absent

24F6. O/E - L.post.tib.pulse present

24F7. O/E - L.post.tib. pulse absent

24F8. O/E - L.dorsalis pedis present

24F9. O/E - L.dorsalis pedis absent

24FA. O/E - Absent left foot pulses

24FB. O/E - left foot pulses present

24FC. O/E - left dorsalis pedis abnormal

24FD. O/E - Left posterior tibial pulse abnormal

24FE. O/E - left dorsalis pedis normal

24FF. O/E - Left posterior tibial pulse normal

585V. Left dorsalis pedis doppler pressure

585W. Right dorsalis pedis doppler pressure

585X. Left posterior tibial doppler pressure

585Y. Right posterior tibial doppler pressure

585a. ABPI - Ankle brachial pressure index

585b. Left dorsalis pedis ABPI

585c. Right dorsalis pedis ABPI

585d. Left posterior tibial ABPI

585e. Right posterior tibial ABPI

9NND. Under care of diabetic foot screener

8H7r. Refer to diabetic foot screener

Foot examination exception codes (Added in the last 15 months)

8I6G. Diabetic foot examination not indicated

8I3W. Diabetic foot examination declined

Diabetes exception reporting codes (Added in the last 15 months)

9h4.. Exception reporting: diabetes quality indicators

9h41. Excepted from diabetes quality indicators: Patient unsuitable

9h42. Excepted from diabetes quality indicators: Informed dissent

DM 9.1 Rationale

Patients with diabetes are at high risk of foot complications. Inspection for vasculopathy and neuropathy is needed to detect problems. Patients with diabetes with foot problems are likely to benefit from referral to specialist diabetic chiropody services. These checks should be carried out at an annual review.

DM 9.2 Reporting and verification

Practices should report the percentage of patients on the diabetic register who have a record of the presence or absence of peripheral pulses in the last 15 months.

Prepared By Jean Keenan