CGM & Medicare/Medicaid Coverage

In November, 2007, the Centers for Medicare and Medicaid Services (CMS) issued billing codes for continuous glucose monitoring technology.  The billing codes are used by public and private health plans to facilitate claims processing and payment for CGM technology.  The codes issued by CMS for this technology are: A9276 for the sensor, A9277 for the transmitter, and A9278 for the receiver.  The codes have been available for use beginning on January 1, 2008.  JDRF strongly advocated for billing codes for continuous glucose monitoring technology and wrote letters in support of issuing the billing codes over the past couple of years.
 
Some health plans are currently granting individual or case by case coverage for continuous glucose monitors.  The JDRF website has information about the CGM coverage policies of select plans.  We encourage people who are using or plan to use CGM technologies to apply for case by case coverage.  The JDRF website also contains a step-by-step guide for gaining coverage for CGM technology that we have obtained from insurance experts that can increase your odds of success.

Thanks, Gina. The information was very helpful and I am going to try what was suggested to obtain the CGM. I'm very excited to get started. Have a great day!

No problem! Please let us know what happens!