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Logists Socioeconomics and Member Advocacy Committee Abbreviations: CGM continuous glucose monitoring; CGMS continuous glucose monitoring system; CPT Current Procedural Terminology; FDA US Food and Drug Administration INTRODUCTION AND BACKGROUND Continuous glucose monitoring (CGM) technology approximates the measurement of plasma glucose levels by continuous measurement of interstitial fluid glucose levels. Some CGM systems (CGMS) provide real-time display of glycemic information, where.
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Pract FAQ
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Codes A4238 and E2102 should be used for adjunctive CGM systems connected to durable medical equipment for delivery. 2023 Coding Changes for Continuous Glucose Monitoring - eMedNY emedny.org https://.emedny.org › communications › 2023_Codi... emedny.org https://.emedny.org › communications › 2023_Codi...
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For claims with dates of service on or after January 1, 2023, a non-adjunctive CGM must be billed with code E2103 and code A4239 for the supply allowance. Code E2103 or K0554 describes a non-adjunctive CGM that meets the requirements of the DME benefit.
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2023 Continuous Glucose Monitoring (CGM) CPT Coding Reference Chart CGM CPT Codes and CPT Code DescriptionMedicare physician office fee schedule1Private payer (2021 averages) 99212-99215 For an established patient in non-facility or office setting Appropriate code to be determined by the office. $56.93-$179.94 $99-$3161 more row Dexcom CPT Codes for Continuous Glucose Monitors Dexcom https://provider.dexcom.com › coding Dexcom https://provider.dexcom.com › coding
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In the related Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) (DA58277) article under "ICD-10-CM Codes that Support Medical Necessity Group 1: Codes" added codes E08. 37X1, E08. 37X2, E08. 37X3, E08. Implantable Continuous Glucose Monitors (I-CGM) (DL38743) - CMS cms.gov https://.cms.gov › view › lcd cms.gov https://.cms.gov › view › lcd
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This patient has a diagnosis of diabetes; self-monitors glucose at least 3 times daily; is treated with 3 or more daily administrations of or continuous infusion via pump; requires frequent adjustment of the treatment regimen based on glucose results; has received or will receive education ...
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In the related Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) (DA58277) article under "ICD-10-CM Codes that Support Medical Necessity Group 1: Codes" added codes E08. 37X1, E08. 37X2, E08. 37X3, E08.
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CPT code 95249 - Ambulatory continuous glucose monitoring (CGM) of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training and printout of recording. Billing Information for Continuous Glucose Monitoring for CPPs NC Medicaid (.gov) https://medicaid.ncdhhs.gov › blog › 2022/02/01 › billi... NC Medicaid (.gov) https://medicaid.ncdhhs.gov › blog › 2022/02/01 › billi...
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In order to cover CGM as a benefit, Medicare requires patients to use a CGM system with “a stand-alone receiver or infusion pump classified as [durable medical equipment (DME)] to display glucose data.”2 CMS does allow patients to use a compatible smartphone, watch, or similar personal device in conjunction ...
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