Continuous Glucose Monitor Supplies - Correct Coding and Billing
October 17, 2019
The DME MACs have recently noticed an increase in denials for HCPCS code K0553 (SUPPLY ALLOWANCE FOR THERAPEUTIC CONTINUOUS GLUCOSE MONITOR (CGM), INCLUDES ALL SUPPLIES AND ACCESSORIES, 1 MONTH SUPPLY = 1 UNIT OF SERVICE) due to suppliers billing more frequently than once per month (e.g., billing K0553 every 28 days). Suppliers must not bill more than one (1) unit of service of HCPCS code K0553 per thirty (30) days. Read the complete advisory article – Continuous Glucose Monitor Supplies – Correct Coding and Billing.
Last Updated: 10/28/2019