Age must be 17 or over with a diagnostic code for diabetes mellitus
Retinal screening codes (Added in the last 15 months)
- 2BB..% O/E - retinal inspection - 2BBo. O/E - sight threatening diabetic
retinopathy
-
- 3128. Fundoscopy
- 31280 Fundoscopy normal
- 31281 Fundoscopy abnormal
- 31282 Dilated fundoscopy normal
- 31283 Camera fundoscopy
- 31284 Indirect fundoscopy following mydriatic
- 3128Z Fundoscopy NOS
- 3129. Eye fundus photography
- 312E. Direct fundoscopy following mydriatic
- 312F. Camera fundoscopy
- 312G. Indirect fundoscopy following mydriatic
- 58C1. Retinal photography
- 68A7. Diabetic retinopathy screening
- 68A8. Digital retinal screening
- 66AD. Fundoscopy - diabetic check
- 8HBD. Retinopathy follow up
- 8HBG. Diabetic retinopathy 12 month review
- 8HBH. Diabetic retinopathy 6 month review
- 9N1v. Seen in diabetic eye clinic
- 9N2U. Seen by optician
- 9N2V. Seen by optometrist
- 9N2e. Seen by ophthalmologist
- 9N2f. Seen by retinal screener
- 9NNC. Under care of retinal screener
Retinal screening exception codes (Added in
the last 15 months)
- 8I6F. Diabetic retinopathy screening not indicated
- 8I3X. Diabetic retinopathy screening refused
- 9OLD. Diabetic patient unsuitable for digital retinal photography
- 9m0A. Declined diabetic retinopathy screening (v15)
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
9h43. Excepted from diabetes
quality indicators: service unavailable (v18)
DM 21.1 Rationale
Screening for diabetic retinal disease is effective at detecting
unrecognised sight-threatening retinopathy. Systematic annual screening should
be provided for all people with diabetes.
SIGN clinical guideline 116 (2010). Management of diabetes. Grade
B Recommendation.
http://www.sign.ac.uk/guidelines/fulltext/116/index.html
In order to be effective, screening must be carried out by a skilled
professional as part of a formal and systematic screening programme to detect
sight-threatening diabetic retinopathy. Practices should ensure that the screening
received by patients meets national standards (where local services meet those
standards) or PCO standards otherwise.
In Scotland, the local Diabetic Retinopathy Screening (DRS) service
provided under the auspices of the Scottish DRS Programme is the only approved
screening service for the purposes of this indicator (HDL 2006).
DM 21.2 Reporting and verification
The practice reports the percentage of patients on the diabetic
register who have had retinal screening performed in the preceding 15 months.
To meet this indicator practices must now demonstrate that patients have received
retinal screening to the required standard.
Verification – proof of attendance at an approved retinal screening
service may be required.
Prepared By Jean Keenan