Carrier Billing Requirements for Diabetes Screening (Rev. 457, 04-04-05)
by Jared Staheli July 6th, 2015
Effective for dates of service January 1, 2005 and later, carriers shall recognize the above HCPCS codes for diabetes screening.
Carriers shall pay for diabetes screening once every 12 months for a beneficiary that is not pre-diabetic. Carriers shall pay for diabetes screening at a frequency of once every 6 months for a beneficiary that meets the definition of pre-diabetes.
A claim that is submitted for diabetes screening by a physician or supplier for a beneficiary that does not meet the definition of pre-diabetes shall be submitted in the following manner:
The line item shall contain 82947, 82950 or 82951 with a diagnosis code of V77.1 reported in the header.
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