another 95251 question -- different from below

smros

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I also have a question on billing ambulatory blood glucose monitoring.

What documentation is required to bill a 95251 -- ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours, interpretation and report?

One of my offices uses a Medtronic sensor that prints out a report with a graph of times and glucose levels along with a bolus given. The physician has written a few notes to make changes in the number of units given, and says "lease call patient with changes."

I am not sure if this meets documentation requirements. It seems pretty sparce.

Thanks!
 

Jbeck@karuk.us

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Billing 95251

I also have a question on billing ambulatory blood glucose monitoring.

What documentation is required to bill a 95251 -- ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours, interpretation and report?

I had this question as well, although I did find some guidelines in this webinar: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&cad=rja&uact=8&ved=2ahUKEwilr-jq_KLiAhXIxFQKHQO9C60QFjAFegQICBAC&url=http://choosehealth.utah.gov/documents/pdfs/DSMT-Webinars/Medicare_CGMS_Reimbursement_4-30-15.pdf&usg=AOvVaw1gC7XyV3bxVMSgHrzAfDVX

But I would like to know when the guidelines say the code can only be billed once a month, do they mean a calendar month (as in; billed in Feb, can be billed again in March) OR does it have to be a full month between dates (billed 2/25, can't be billed again until 3/25)?? Can anyone provide some guidance on this issue?

Thank you in advance!!
Janet Beck, CPC
 
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