Medical Billing Forum

Billing => Billing => : Prakalpb January 04, 2021, 07:09:41 PM

: CGM Billing and Criteria
: Prakalpb January 04, 2021, 07:09:41 PM

Hello,

Could you please help to know about below criteria for Continuous Glucose Monitor (Diabetic) .
1. Can we bill claims to Medicare for patients who are taking pills instead of insulin/injections. Will Medicare reimburse it?
2. How much "Glucose testing per day" is required to meet the CGM criteria?
3. If patient is taking insulin 2 times a day, can we bill that claim to Medicare and will it be paid?   

: Re: CGM Billing and Criteria
: Michele January 04, 2021, 09:49:41 PM

Just wondering what you are billing for, the testing kits?  The materials?  Or the testing?