Continuous Glucose Monitor (CGM) Billing Guidelines

Continuous Glucose Monitor 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: 

• Medicare
  CMS Glucose Monitors
• Medicaid
  HCPF Provider Rates and Fee Schedule
  HCPF Continuous Glucose Monitor (CGM) Benefit Coverage

Provider Tip Sheet 

Continuous Glucose Monitors