95250 and 95251

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6
Location
Florence, AZ
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Does anyone know how many times a pt can receive and be billed for the CGM in a 1 year period with any insurance, preferably medicare??

Thanks.
 

erjones147

Expert
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395
Location
Fernley, NV
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I researched this awhile back, and my notes say once every calendar month. Cannot find source document for you to reference back to
 

Jbeck@karuk.us

Networker
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27
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CPT book states not to bill more than once per month. We are using the Libre Pro, and the material I have says CMS will cover the office supplied sensor. Or are you asking about a personal sensor RX'd directly to the patient?
 

wongs84

New
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I have a question on how to code for insulin pump readings and for diabetes education. I know for CGM reading is coded as 95251 but not sure what to use for insulin pump or do I use the same code. Also what would be the code for diabetes education? Is it G0108/G0109 for Medicare patients and 98960-98962 for commercial payers? Hoping someone could help. Thanks in advance!
 
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