Blood Glucose Level Test - in-office using a glucose meter

Policy No: 71
Originally Created: 01/01/2019
Section: Diagnostic
Last Reviewed: 01/01/2019
Last Revised: 01/01/2019
Approved: 01/01/2019
Effective: 01/01/2019

Description

Blood glucose level test - in-office using a glucose meter (D0412)
This procedure provides an immediate finding of a patient's blood glucose level at the time of sample collection for the point-of-service analysis.

Policy/criteria

Procedures are in accordance with generally accepted standards of dental practice.

Blood glucose level test - in-office using a glucose meter is not a benefit of the dental contract.

Administrative guidelines

Process to contract benefits.

Procedure is considered medical (deny under dental). Submit on medical claim form with applicable medical CPT code and diagnosis code.

Codes

CDT - D0100-D0999 - see above.

Disclaimer

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