Two New “K” Codes for Therapeutic Continuous Glucose Monitors for Blue Cross Medicare Advantage PPOSM and Blue Cross Medicare Advantage HMOSM

October 27, 2017

The Centers for Medicare and Medicaid Services (CMS) has published an article that provides CMS guidance to Medicare providers to help providers and suppliers submitting claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.

CMS has implemented two new codes for therapeutic Continuous Glucose Monitors (CGM) that will be added to the Healthcare Common Procedure Coding System (HCPCS) code set, and the Medicare Advantage CPT Preauthorization Code List PDF Document effective January 1, 2018. The addition of these codes (K0553 and K0554) will facilitate Durable Medical Equipment (DME) (MAC) claims processing for therapeutic CGMs.

Please review the CMS guidance article, "Two New "K" Codes for Therapeutic Continuous Glucose Monitors," as soon as possible by clicking on the following link: PDF Document