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Reimbursement

CGM has truly been a successful reimbursement story. There are established CPT codes for providers to get paid and broad coverage within the payer community. It is also important to note that the reimbursement landscape has changed significantly over the last several years. Many of the reimbursement challenges experienced by the early-adopters no longer exist and today’s reimbursement environment is extremely favorable.

 

Below you will find the 2015 CGM coding reference sheet and sample plans of regional payors for personal CGM.

Download materials below:

2015 CGM Coding Reference Sheet

2015 CGM Coding Reference Sheet and Frequently Asked Questions

Regional Insurance Coverage for CGM Rocky Mountain Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM Southern California Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM Southwest Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM North East Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM Mid West Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM Pacific Northwest Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM North Atlantic Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM South East Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM Great Lakes Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM South Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM South Central Region

Sample plans of regional payors for personal CGM

Regional Insurance Coverage for CGM Mid Atlantic Region

Sample plans of regional payors for personal CGM

NOTE: This site is not guaranteeing reimbursement from these specific health plans as CGM policy and criteria may change.  Check with the specific health plans if you have any questions or concerns regarding their specific CGM policy.