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Official Description

Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
Short Descr Glucose monitor w cartridge
Coverage Special coverage instructions apply
Pricing Indicator(s) 32 – Supplies And Surgical Dressings - Inexpensive & routinely purchased DME (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 60-11
BETOS D1E – Other DME
TOS Code(s) A – Used durable medical equipment (DME)
Added Date 4/1/2024
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
MUE Not applicable/unspecified.
MUE 1
OTS Orthotic No
KS Glucose monitor supply for diabetic beneficiary not treated with insulin
NU New equipment
KX Requirements specified in the medical policy have been met
Date
Action
Notes
2025-01-01 Added First appearance in codebook.
2024-04-01 Added Code added.
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