Work Breakdown for CGM CPT Codes
| Code | Workflow | May Be Performed by:* | Face-to-Face Meeting Required? |
|---|---|---|---|
| 95250: CGM placement, training, downloading, and report generation | Sensor insertion | Physician, nurse practitioner, or physician’s assistant or licensed staff within scope of practice or under direct supervision of provider | Yes |
| Patient training | Yes | ||
| Meter instruction | Yes | ||
| Removal of transmitter | Yes | ||
| Downloading of data | No | ||
| Entering blood glucose readings | No | ||
| Generating printed reports | No | ||
| 95251: interpretation of CGM data | Provider analysis of reports | Physician, nurse practitioner, or physician’s assistant | No |
↵* Staff may provide services if they meet the Medicare “incident to” rules for reimbursement of services rendered incident to a physician’s professional services.