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Wiki 95251-Can it be billed by a CDE?

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rgunwall

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We are have diabetic educators in our clinic. They do the (95251) interpretation and review of the CGM systems for those patients who have them. Can this be preformed and billed by the CDE or does it have to be a provider (MD,NP,CNS,PA). Anybody that has any information on if this is billable by a CDE would be appreciated.
 
We are a two hospital family. :)

Among other things, my wife manages the Diabetes program at her hospital. I asked her about this and she says this is not billable.

I wouldn't think it would be any different in a clinic setting.
 
Thank you for your reply!

Right now the CDE is downloading all the data and is doing the interp and report then writing a document and sending it to the provider to read and sign off on or if they provider feels that he/she has other recommendations the provider will document them.

As of right now we do not feel comfortable billing them since what we have found states it needs to be done by a MD,PA,NP or CNS. And we just don't know if they signature is enough on the document since it was actually done by a CDE.
 
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