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Oh....and I posted in another thread the billing code needed for CGMS is A9279 a Misc or Invesigational HCPCS code. Definition is: Monitoring feature/device stand alone or INTEGRATED, any type, includes all accessories, components and electronics not otherwise classified. Per the 2007 HCPCS professional coding book I use at work.
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Thanks so much for this info. Maybe this will help some of us out! My A1c has climbed to 7.3 over the last 16 months that I have been pumping. My endo is more than willing to go above and beyond in helping me get United to pay for the CGMS.
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I will agree with you on that. They told me that a CGMS has nothing to do with diabetic care.
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Jim.........I knew I was in trouble when I had to explain to the first rep what an insulin pump was! My opinion is that when we call our insurance companies on a medical issue.....be it diabetes, cancer, etc........they should have specialists with knowledge of that disease so that they can better help us!
Karen
