Reporting Ambulatory Continuous Glucose Monitoring (95249–95251) (June 2018)

June 2018 pages 6-7 Reporting Ambulatory Continuous Glucose Monitoring (95249–95251) A new code (95249) was added to the Medicine/Endocrinology subsection in the Current Procedural Terminology (CPT®) 2018 code set to allow reporting of clinical staff services (ie, sensor placement, hook-up, calibration of monitor, patient training, and printout of recording) for ambulatory continuous glucose monitoring (CGM), when the equipment is provided by the patient. In addition, code 95250 was revised to allow reporting of these same clinical staff activities related to ambulatory CGM when the equipment is owned by the physician's office. New introductory guidelines and exclusionary parenthetical notes...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This June 2018 CPT® Assistant article reviews reporting guidance for ambulatory continuous glucose monitoring (CGM) in the 2018 CPT code set. It is relevant to endocrinology practices, physicians, and coding staff who work with CGM documentation and billing. The article covers the purpose of the updated code structure, the distinction between equipment ownership scenarios, and related introductory and exclusionary guidance.

Why This Topic Matters

Accurate CGM reporting depends on understanding the 2018 CPT revisions and the documentation elements tied to each service component. This article helps coders and clinicians identify which broad reporting scenario applies and how the associated guidance is organized.

Article Sections

  1. June 2018 pages 6-7

    Publication context for the article and its placement within CPT® Assistant.

  2. Reporting Ambulatory Continuous Glucose Monitoring (95249–95251)

    Overview of the CGM reporting update, including the 2018 CPT changes, the reason for the revisions, and the general distinction between equipment scenarios.

  3. Endocrinology

    Presentation of the relevant code entries and associated introductory note material within the endocrinology subsection.

  4. Clinical Example (95249)

    A patient scenario illustrating the type of ambulatory CGM service addressed by the article.

  5. Description of Procedure (95249)

    A procedural narrative describing the workflow and patient instruction elements associated with the example.

What You Will Learn

  • How the article frames ambulatory CGM reporting within the 2018 CPT update
  • How the article distinguishes between patient-provided and office-provided CGM equipment
  • What kinds of documentation topics are discussed for CGM-related reporting
  • How the article organizes the guidance by code and example

Who Should Read This

  • Medical coders
  • Coding auditors
  • Endocrinology practices
  • Physicians and other qualified health care professionals
  • Billing staff

Codes Discussed

Code Ranges Discussed

  • CPT: 95249–95251

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