CPT^® 95250, Under Endocrinology Services

The Current Procedural Terminology (CPT^®) code 95250 as maintained by American Medical Association, is a medical procedural code under the range - Endocrinology Services.

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Summary

In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a minimum of 72 hours. Use this code to report sensor placement, hook–up, monitor calibration, patient training, sensor removal, and recording printout. This code represents the technical component of the service only.

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Forum

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Medical Supply given to office by manufacturer can we charge?

Thank you for the response. The CPT code includes the supply as part of the complete service. 95250 includes professional (office) provided equipment. Were also looking at 95249 however the equipmen... [ Read More ]

CGM (95250) requirements - removal of sensor cgm

I'm trying to nail down requirements for billing a 95250, and though I am finding a lot of information there still seem to be some grey areas - or at least areas where I can't find specific enough inf... [ Read More ]

Eversense

you would still use the 0446T, 0047T, and 0448T for the insertion, removal, or removal and reinsertion. It doesn't matter what the company bill for the product. You would not use the 95250 for this fo... [ Read More ]

Continuous glucose monitoring

95250 on the date of sensor placement, and 95251 on the date of sensor read (assuming complete documentation of the read)... [ Read More ]

Continuous glucose monitoring

We are just staring to place the continuous glucose monitoring systems in some of our patients and would like some guidance for billing. We will be placing the sensor on one visit and the patient will... [ Read More ]

Continuous glucose monitoring

Glucose Monitoring (CGM)

I believe you can only bill those 'A' codes if you are a DME supplier - HCPCS book says they are not priced separately by Part B. So if you are billing under Part B for sensors owned by your practice... [ Read More ]

Continous Glucose Monitoring (CGM)

You need the printed report from the sensor (usually scanned to your EHR) in order to report the 95250 (placement of sensor, download of at least 72 hours of data, and removal of sensor) for equipment... [ Read More ]

Qualifying DX codes for 95250/95251?

I am trying to find out whether there are any guidelines on diagnosis codes that CMS accepts for CGM codes 95250/95251. I have searched the NDC/LCD database and have not been able to find anything. ... [ Read More ]

Eversense

95250 is the placement, calibration, patient training, downloading of at least 72 hours of data, printout of data recording, and removal of a sensor owned by the medical practice. My understanding is... [ Read More ]

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