The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.
Diabetes Screening: Is This a Payable Service?
Diabetes screening is a service that may be billed to Medicare twice per year for the “pre-diabetic patient.” The definition of the pre-diabetic patient is one with a fasting glucose level of 100 to 125, or two-hour post-glucose challenge of 140 to 199 mg/dL. You may bill once a year for patients who do not meet the criteria for twice yearly screening. The screening codes to use, according to CMS, are 82947 which is a serum glucose, 82950 which is a post-glucose dose, and 82951 which is a glucose tolerance test, three specimens.