Refer to the chart below for Dexcom CGM system CPT codes and frequently asked questions about continuous glucose monitor billing guidelines for Medicare and private insurance patients with diabetes mellitus. Dexcom CPT Codes and CPT Code Description Medicare physician office fee schedule1 Medicare ...
Use modifier “-25” with E/M code when billing 95250 and 95251 on the same day Other Billing Details for CGM Document the primary diagnosis code and the appropriate ICD indicator based on the date of service. Example diagnosis code: 250.03 (Diabetes without mention of complications; type 1,...