CPT Knowledgebase - Feb 6, 2025

If a patient returns to the office a couple of days after the initial visit for continuous glucose monitor placement (CGM), patient training (reported with 95250), and requires additional training on use of the pump, recalibration of the monitor and/or needs additional assistance with pairing of the monitor with the insulin pump by the clinical staff, is it appropriate to report CPT code 99211? For example, patient returns to the clinic a couple of days after his continuous glucose monitor placement because the patient is having low blood glucose readings and determines the continuous glucose monitor is not communicating/pairing with his insulin pump. The settings for the monitor and the insulin pump are deleted and recalibrated successfully by the clinical staff. The patient is provided additional education on CGM use by the clinical staff.

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