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Thread: Glucose Test 82962 vs 82947

  1. #1

    Question Glucose Test 82962 vs 82947

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    Per The AMA and Ingenix CPT books 82962 says it is specifically for home use which we are coding and every ins co is denying. If done in the office isnt 82947 a more appropriate code with QW modifier per Medicare LCD

  2. #2
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    Duluth, Minnesota
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    Default

    or...maybe 82948 (82947 is the glucose quantitative blood (EXCEPT reagent strip)...
    Donna, CPC, CPC-H

  3. #3
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    So, I'm looking for the same kind of answer.

    For anyone who bills Medicaid, do you bill 82962 or 82947 for your fingerstick glucose? Can you add "why"?

    Thanks in advance!!
    Heidi Thompson, CPC

  4. #4
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    Santa Rosa
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    So I found my answer!
    Heidi Thompson, CPC

  5. #5
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    Since I found my answer, I guess I'll share it with you

    CPT Assistant
    Year: 1999

    Issue: January

    Pages: 10

    Title: Pathology and Laboratory, 82948, 82962 (Q&A)

    Body: Coding Consultation

    Question

    What are the differences between codes 82948, Glucose; blood, reagent strip and code 82962, Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use?

    AMA Comment

    From a CPT coding perspective, code 82948 describes a blood glucose level that is determined by a reagent strip method. The blood is obtained and a drop of blood is placed on a glucose oxidase strip. The strip is blotted at a prescribed interval and the color of the strip (after it has been allowed to react with the blood) is visually compared against a color chart on the side of the vial that contains the unused reagent strips.

    CPT code 82962 describes the method when whole blood is obtained (usually by finger stick device) and assayed by glucose oxidase, hexokinase, or electrochemical methods and spectrophotometry using a small portable device designed for home blood glucose monitoring use. These devices may also be used in physician offices, during home visits or in clinics.
    Heidi Thompson, CPC

  6. #6

    Default

    Hi Heidi,

    I was just looking at the code 82962 and was going to question whether the monitoring device could be used in a Providers office. Your answer was exactly what I was looking for. I know you posted this over 3 years ago but thank you!

    Bonnie Bleacher, CPC

  7. #7

    Default glucose monitoring

    I asked the manufacturer of the glucose monitor that some of my physicians currently use in the hospital and was told the correct CPT code was 82947 -Glucose; quantitative, blood (except reagent strip) Not 82962
    CPT 82948 is not CLIA waived and can only be done in a lab.


    Quote Originally Posted by hthompson View Post
    Since I found my answer, I guess I'll share it with you

    CPT Assistant
    Year: 1999

    Issue: January

    Pages: 10

    Title: Pathology and Laboratory, 82948, 82962 (Q&A)

    Body: Coding Consultation

    Question

    What are the differences between codes 82948, Glucose; blood, reagent strip and code 82962, Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use?

    AMA Comment

    From a CPT coding perspective, code 82948 describes a blood glucose level that is determined by a reagent strip method. The blood is obtained and a drop of blood is placed on a glucose oxidase strip. The strip is blotted at a prescribed interval and the color of the strip (after it has been allowed to react with the blood) is visually compared against a color chart on the side of the vial that contains the unused reagent strips.

    CPT code 82962 describes the method when whole blood is obtained (usually by finger stick device) and assayed by glucose oxidase, hexokinase, or electrochemical methods and spectrophotometry using a small portable device designed for home blood glucose monitoring use. These devices may also be used in physician offices, during home visits or in clinics.

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