JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY
TABLE 1: Pediatric weight management practices among 57 clinicians.
Number of Providers
Is body mass index (BMI) calculated as part of your regular visits with children? Yes
50
No
6 1
Did not answer
What code(s) do you use to bill for childhood obesity screening/treatment? * 278.00: Obesity, unspecified
33 26 22 21 15 13
278.02: Overweight
783.1: Abnormal weight gain
V85.54: Obesity, pediatric BMI ≥ 95th percentile for age
278.01: Morbid obesity 272.4: Hyperlipidemia 272.1: Hypertriglyceridemia 277.7: Insulin resistance
9 8 6 6 6 5 2 1 1 1 1 2 6
780.57: Sleep apnea, unspecified 790.5: Elevated liver enzymes 790.99: Elevated hemoglobin A1C
571.8: Nonalcoholic steatohepatitis (NASH) 250.00, 250.02, v58.67, 272.2, acanthosis, PCOS 278.03: Obesity hypoventilation syndrome
278.1: Localized adiposity
Weight gain
277.7 & 278 - Metabolic Syndrome
Don’t know
Not applicable/did not answer
Do you screen for type 2 diabetes mellitus in children and adolescents? Yes
16 20 21 28 22 11
No
Not applicable/did not answer
If yes, what is your primary screening tool for type 2 diabetes in children and adolescents? * Hemoglobin A1c
Fasting Plasma Glucose Overweight/Obesity
Oral Glucose Tolerance Test (OGTT) American Diabetes Association criteria
6 3 1 1 1 1
Fasting Insulin
Urinalysis
Acanthosis Nigricans presence Do not do labs on every child
Which department in your hospital/clinic provides pediatric obesity treatment? * General Pediatrics
21 15
Nutrition
Gastroenterology
8 7
Endocrinology
4 J La State Med Soc VOL 169 JANUARY/FEBRUARY 2017
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