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A NEW WAY TO PROCESS, DISTRIBUTE AND SERVICE MEMBERS

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Simplified claims processing

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HCP-governed CGM administration

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Improved member experience

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ICD-10 coding and billing

Eversense is indicated for adults with insulin-dependent diabetes, using all applicable ICD-10-CM codes based on the complexity of the diagnosis.

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Category III CPT codes

Three specific Category III CPT codes are required to report the implantation and/or removal of the Eversense Sensor. Please note some other payers may not cover these codes, making prior authorization necessary. These codes are:

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0446T

 

Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training. (Do not report 0446T in conjunction with 95251, 0447T, 0448T).

 

0447T

 

Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision.

 

0448T

 

Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and implantation insertion of new implantable sensor, including system activation.
(Do not report 0448T in conjunction with 0446T, 0447T).

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Category I CPT code for CGM analysis and interpretation

Providers may also represent their analysis and interpretation of Eversense data using:

 
 

CPT 95251

 

Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation, and report.

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NEED MORE INFORMATION
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