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CMS denies new CGM code

This article was originally published in The Gray Sheet

Executive Summary

CMS shoots down Dexcom and Medtronic requests for continuous glucose monitors (CGM) to get their own HCPCS codes, notwithstanding congressional pressure. In March, CMS tentatively denied the companies' requests to establish three new codes to describe the components of CGM. In August, a Medicare Coverage and Advisory Committee advised CMS that the technology has not been proved superior to traditional monitoring. Although Medicare does not cover CGM, securing codes for the technology would aid in establishing reimbursement from other public and private payors (1"The Gray Sheet" May 1, 2006, p. 8)...
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