Help: FAQs, tutorials, videos, page index and more
Viewing:  Sep 21, 2019

Preventive Services: Diabetes Screening

By:  Find-A-Code
Published:  September 1st, 2017

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Diabetes Screening: 

HCPCS/CPT Codes

82947 - Glucose; quantitative, blood (except reagent strip)
82950 - Glucose; post glucose dose (includes glucose)
82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose)

ICD-10 Codes

Z13.1

Who Is Covered

Medicare beneficiaries with certain risk factors for diabetes or diagnosed with pre-diabetes

NOTE: Medicare beneficiaries previously diagnosed with diabetes are not eligible for this benefit

Frequency

  • One screening every 6 months for Medicare beneficiaries diagnosed with pre-diabetes
  • One screening every 12 months if previously tested but not diagnosed with pre-diabetes or if never tested

Medicare Beneficiary Pays

  • Copayment/coinsurance waived
  • Deductible waived

Other Notes

  • Append modifier -TS when submitting claims for Medicare beneficiaries with pre-diabetes.
  • Medicare only pays claims for Durable Medicare Equipment (DME) if the ordering provider and DME supplier are actively enrolled in Medicare on the date of service. Tell your Medicare patients if you are not participating in Medicare before you order DME. Refer to Medicare Enrollment Guidelines for Ordering/Referring Providers for information on how to enroll as an ordering/referring provider.

Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.


References:

###

Article Tags  (click on a tag to see related articles)



Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


Our contact information

Find A Code, LLC
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Fax: 801-770-4428
Email:
Free 14 Day Trial
No Credit Card Required
Pricing
Starting at $10/month
Sign In
Welcome back!