Continuous Glucose Monitor (CGM) Billing Guidelines

Denver Health Medical Plan (DHMP) follows the Centers for Medicare & Medicaid Services (CMS) and Colorado Department of Health Care Policy & Financing (HCPF) guidelines for Continuous Glucose Monitor (CGM) billing. Instances of non-compliance pertaining to these requirements may result in the denial of claims.

For additional information please review the following links:

Medicare:

CMS Glucose Monitors

 

Medicaid:

HCPF Provider Rates and Fee Schedule

HCPF Continuous Glucose Monitor (CGM) Benefit Coverage