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Cpt 95250

  1. #1
    Default Cpt 95250
    Exam Training Packages
    Continuous Glucose Monitoring (CGMS)

    Is anyone using this device. If so how is your practice apply this service.
    And are you getting reimbursed on this service.


    Respectfully
    Daniel

  2. Default
    The office I work for is just starting to use this device. I have found that Anthem has a policy for these codes but I do not have much more information. Is your physician placing the device? And is the Doctor writing a formal report when it is read?

    Thanks,
    Johann

  3. #3
    Default
    We haven't purchased the device yet. That's why I'm looking into it.
    Thank you for the response.

    Respectfully
    Daniel

  4. Default
    We have 2 CGMS devices and usually have two diabetic patients per week wearing them. Our MD's write the order and then we schedule with our CDE's who educate and place the sensor, then 72 hours later they remove and download/printout readings for which we bill 95250 (make sure to only use the hookup date. Iif you bill from hookup date to removal date it will get denied). Then our MD's do an interp and report which we can bill 95251. And yes we get paid from all carriers including Medicare.

  5. #5
    Default
    Once again thank you for this response. Very informative.


    Respectfully
    Daniel, CPC

  6. Default
    Miller -ide

    I have another question about the type of report the Doctor does for the interp. Do the doctors just write on the print out sheets or is a "formal" report done? And to clarify, CDE - Certified Diabetic Educator? Is this person an RN or Nurse Practioner?
    Thanks

  7. Default
    It's a "cookie cutter" progress note, I could email a copy to you if you would like but we got it from Medtronic. And yes Certified diabetes Educator, she is an RN..

  8. #8
    Default
    Send me an email of this please. With any other additional info.

    Thank You


    troublesdbs@yahoo.com
    or
    Daniel@caduceusmedical.org

    Respectfully
    Daniel

  9. Default
    Yes, please. jwasik001@columbus.rr.com
    Thank you for all your help.
    Johann

  10. #10
    Location
    Baton Rouge Chapter
    Posts
    5
    Default
    I noticed your "old" 2009 response to someone who was questioning how to bill for the CGM. You mentioned a cookie cutter report form. Would you consider emailing to me? I hope you are still there. The email was old.
    Chris Harris
    CPC, RCC

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