National Medical Policy Continuous Glucose Monitoring

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Continuous Glucose Monitoring | NIDDK - National …

https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes/continuous-glucose-monitoring

Continuous glucose monitoring automatically tracks blood glucose levels, also called blood sugar, throughout the day and …

LCD - Glucose Monitors (L33822) - Centers for Medicare …

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33822&DocID=L33822

CONTINUOUS GLUCOSE MONITORS (CGM) A non-adjunctive CGM can be used to make treatment decisions without the need for a stand-alone BGM to …

New Medicare Coverage Requirements Make CGMs …

https://diabetes.org/tools-support/devices-technology/cgm-medicare-coverage-requirement-change-accessibility

Beginning on July 18, 2021, Medicare will permanently eliminate the requirement of the four-time-daily fingerstick in order to qualify for coverage of a continuous glucose monitor …

Article - Glucose Monitor - Policy Article (A52464)

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52464&DocID=A52464

For dates of service prior to April 1, 2022, and dates of service on or after January 1, 2023, codes A9276 (SENSOR; INVASIVE (E.G., SUBCUTANEOUS), …

Guidelines for Continuous Glucose Monitors

https://diabetes.org/sites/default/files/2022-03/CGM-3-15-22.pdf

Immediate access to glucose levels. CGMs continuously provide updated glucose data every five minutes. Personalized alerts are also displayed on the device to prompt an …

Continuous Glucose Monitoring and Insulin Delivery …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/continuous-glucose-monitoring-insulin-delivery-managing-diabetes.pdf

Continuous Glucose Monitoring (CGM) Note: Coverage criteria noted below must be met whether the request comes through the UnitedHealthcare prior authorization process …

Quick Safety Issue 59 - Joint Commission

https://www.jointcommission.org/resources/news-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-issue-59/

Approximately 34.2 million, or just over one in 10, Americans have diabetes. 1 Many of these people rely on personal insulin pumps and continuous glucose monitoring (CGM) …

Continuous Glucose Monitoring Systems | BCBSND

https://www.bcbsnd.com/providers/policies-precertification/medical-policy/c/continuous-glucose-monitoring-systems

Description. Continuous Glucose Monitoring (CGM) Systems (also known as Real-Time or interstitial) monitor, measure, and record glucose levels in interstitial …

Clinical Policy: Continuous Glucose Monitors

https://www.healthnet.com/content/dam/centene/healthnet/pdfs/provider/ca/policies/7809.pdf

It is the policy of health plans affiliated with Centene Corporation® that continuous glucose monitors are medically necessary when the following criteria are met: I. Initial …

Continuous Glucose Monitor policy changes could close equity gaps

https://medschool-test.healthsciences.ucla.edu/news/continuous-glucose-monitor-policy-changes-could-close-equity-gaps

On Jan. 1, 2022, a California Medi-Cal policy change resulted in CGM systems becoming more readily available to lower-income recipients, as an effort to address diabetes-related …

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