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  • Helping DME MACs to Accurately Adjudicate Claims
  • Post author
    Lacy Gaskins

Helping DME MACs to Accurately Adjudicate Claims

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) add two codes for therapeutic continuous glucose monitors to the HCPCS code set for the purposes of allowing DME MACs to accurately adjudicate claims.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3775CP.pdf

Subject: Two New “K” Codes for Therapeutic Continuous Glucose Monitors

Release Date: May 18, 2017

Effective Date: July 1, 2017

Implementation Date: July 3, 2017

Special Notes: Transmittal 3751, dated April 21, 2017, is being rescinded and replaced by Transmittal 3775, May 18, 2017, to add a new requirement for English descriptions. All other information remains the same.

  • Post author
    Lacy Gaskins