Did you Know? When Coding for Blood Glucose Testing, you must use the code that most closely describes the test you perform.
CPT Codes (Alphanumeric, CPT® AMA)
Code | Description |
82947 | Glucose; quantitative, blood (except reagent strip) |
82948 | Glucose; blood, reagent strip |
82962 | Glucose; blood by glucose monitoring device(s) cleared by FDA for home use |
Note: 82962 (Glucose, blood by glucose monitoring device[s] cleared by the FDA specifically for home use). You can report the code for use in a physician office lab; the definition doesn’t limit you to home use for the test. CPT 82962 is a CLIA waived test per Medicare guidelines and requires a -QW modifier for certified CLIA offices. If this is the method/device your office is using this would be the appropriate code.
Medical Necessity Diagnosis NCD policy update:
NCD 190.20 Blood Glucose Testing
Several ICD-10 CM codes have been updated in this policy and are worthy of review as of 04.01.2017
The ICD-10-CM codes can be viewed on CMS’ website as part of Downloads: Lab Code List, at http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/LabNCDsICD10.html
Verify Frequency Limitations per LCD Guidelines/State and Jurisdictions indicated in below table.
Glucose Testing:8294882962 | Once per month | Type I or Type II Diabetes with hyperglycemia/complications (E10.65, E10.8, E11.65, E11.8) |
Contractor Information | ||||
Contractor Name | Contract Type | Contract Number | Jurisdiction | State |
Novitas Solutions, Inc. | A and B MAC | 04111-MAC A | J-H | Colorado |
Novitas Solutions, Inc. | A and B MAC | 04112-MAC B | J-H | Colorado |
Novitas Solutions, Inc. | A and B MAC | 04211-MAC A | J-H | New Mexico |
Novitas Solutions, Inc. | A and B MAC | 04212-MAC B | J-H | New Mexico |
Novitas Solutions, Inc. | A and B MAC | 04311-MAC A | J-H | Oklahoma |
Novitas Solutions, Inc. | A and B MAC | 04312-MAC B | J-H | Oklahoma |
Novitas Solutions, Inc. | A and B MAC | 04411-MAC A | J-H | Texas |
Novitas Solutions, Inc. | A and B MAC | 04412-MAC B | J-H | Texas |
Novitas Solutions, Inc. | A and B MAC | 04911-MAC A | J-H | ColoradoNew MexicoOklahoma
Texas |
Novitas Solutions, Inc. | A and B MAC | 07101-MAC A | J-H | Arkansas |
Novitas Solutions, Inc. | A and B MAC | 07102-MAC B | J-H | Arkansas |
Novitas Solutions, Inc. | A and B MAC | 07201-MAC A | J-H | Louisiana |
Novitas Solutions, Inc. | A and B MAC | 07202-MAC B | J-H | Louisiana |
Novitas Solutions, Inc. | A and B MAC | 07301-MAC A | J-H | Mississippi |
Novitas Solutions, Inc. | A and B MAC | 07302-MAC B | J-H | Mississippi |
Novitas Solutions, Inc. | A and B MAC | 12101-MAC A | J-L | Delaware |
Novitas Solutions, Inc. | A and B MAC | 12102-MAC B | J-L | Delaware |
Novitas Solutions, Inc. | A and B MAC | 12201-MAC A | J-L | District of Columbia |
Novitas Solutions, Inc. | A and B MAC | 12202-MAC B | J-L | District of Columbia |
Novitas Solutions, Inc. | A and B MAC | 12301-MAC A | J-L | Maryland |
Novitas Solutions, Inc. | A and B MAC | 12302-MAC B | J-L | Maryland |
Novitas Solutions, Inc. | A and B MAC | 12401-MAC A | J-L | New Jersey |
Novitas Solutions, Inc. | A and B MAC | 12402-MAC B | J-L | New Jersey |
Novitas Solutions, Inc. | A and B MAC | 12501-MAC A | J-L | Pennsylvania |
Novitas Solutions, Inc. | A and B MAC | 12502-MAC B | J-L | Pennsylvania |
Novitas Solutions, Inc. | A and B MAC | 12901-MAC A | J-L | District of ColumbiaDelawareMaryland
New Jersey Pennsylvania |