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Cpt 95250

  1. #1
    Default Cpt 95250
    Medical Coding Books
    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.


  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?


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


  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
    Once again thank you for this response. Very informative.

    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?

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

    Thank You


  9. Default
    Yes, please.
    Thank you for all your help.

  10. #10
    Baton Rouge Chapter
    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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