Policy No: 69
Originally Created: 01/01/2018
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
HbA1c in-office point of service testing (D0411)
Simple chair-side screening for dysglycemia via finger-stick random capillary HbA1c glucose testing can be used to rapidly identify high-risk patients. Chair-side screening and appropriate referral may improve diagnosis of pre-diabetes and diabetes.
A code for the finger-stick capillary HbA1c glucose test procedure will assist in broader adoption of this practice in certain dental settings and practices. In addition, it may facilitate further practice-based studies that will assist in demonstrating the acceptability, feasibility, effectiveness of chair-side diabetes screening.
Procedures is in accordance with generally accepted standards of dental practice.
HbA1c in-office point of service testing is not a benefit of the dental contract.
Process to contract benefits.
Procedure is considered medical (deny under dental). Submit on medical claim form with applicable medical CPT code and diagnosis code.
CDT - D0100-D0999 - see above
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