Pediatric Coding Alert

Reader Questions:

82962 Can Be OK for Home Use

Question: A payer denied our claim for 82962. Is there any way to get paid for it? Connecticut Subscriber Answer: Check with your payer, because 82962 (Glucose, blood by glucose monitoring device[s] cleared by the FDA specifically for home use) should be acceptable; many physician offices report 82962 despite the notation of "specifically for home use." Definition: Code 82962 represents the method when whole blood is obtained (usually by finger stick device) and assayed using a small portable device. By contrast, 82948 (Glucose; blood, reagent strip) describes a blood glucose level obtained by a reagent strip method.
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