Out with the OLD, in with the NEW diabetes style
Cap or No Cap
Show Me the Money!!!
Still prescribed, BRAND forgotten
Letters with Attitude
100

This diabetes drug recently got approved for OSA

Tirzepatide

100
There are no guideline-directed therapies that improve outcomes in HFpEF

False; DELIVER and EMPEROR-Preserved Trials

100

Incident to billing code

CPT 99211

100

Spironolactone

Aldactone

100

AHT

Annual Hospital Training

200

Metformin is required as a 1st line therapy before SGLT2i or GLP-1 initiation

False; ADA now prioritizes therapies for CVD, kidney and weight benefit independent of metformin use

200

SGLT2 inhibitors must be stopped if eGFR drops after initation

False

200

NYP Video Visit Billing Code

CPT 99211 with 95 modifiers

200

Enalapril

Vasotec

200

PCMH

Patient-Centered Medical Home

300

Weight management is a primary therapeutic goal in diabetes management

TRUE; ADA 2026 now has weight management as a primary goal in patients with diabetes alongside glycemic management. It is now specifically framed as disease-modifying rather than cosmetic. 

300

ACE inhibitors should only be started if BP is uncontrolled

False; KDIGO recommends initiation of ACEi/ARB in setting of albuminuria, even if BP is at goal
300

CGM initiation billing code

CPT 95249

300

Hydralazine

Apresoline

300

NCQA

National Committee for Quality Assurance

400

A1c is the primary metric for assessing diabetes control

FALSE; ADA 2026 emphasizes multidimensional approach including Time-in-Range, CV outcomes, kidney progression and weight trajectory.

400

Patients over the age of 75 with ASCVD should not receive high intensity statins

FALSE; ACC recommends individualized patient-centered decisions

400

Transitional Care Management Billing Code

CPT 99495

400

Glyburide

Micronase, Diabeta

400

HEDIS

Healthcare Effectiveness Data and Information Set

500

A systolic BP goal of <120 mmHg should be encouraged in diabetic individuals with high CV or kidney risk

True; New recommendation in ADA 2026 based on BPROAD and ESPIRIT trials

500

SGLT2 inhibitors provide kidney protection in only patients with diabetes

FALSE

500

DSME Billing 1-1 Code

CPT G0108

500

Methyldopa

Aldomet

500

HERCULES

Hospital Efficiency, Revenue Cycle, Clinical Utilization, Length of Stay, and Enhanced Sourcing

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