Professional CGM Reimbursement Tool
PROFESSIONAL CGM REIMBURSEMENT
INTERACTIVE INSIGHT TOOL
Note: This tool will be removed and no longer available for use effective November 30, 2021 as Medtronic transitions away from Professional Continuous Glucose Monitoring (CGM) over to real-time CGM.
Learn more about potential clinical & economic benefits of Professional CGM for your practice.
- Medicare Reimbursement Rates
- Commercial Payer Policies
- Sample Economic Model
IMPORTANT: This Tool contains general coverage and billing guidance on FDA-approved use of Medtronic products, and does not provide specific recommendations or instructions on clinical or billing practices. It is always the provider’s responsibility to determine coverage and utilize appropriate codes, modifiers, and charges for the services rendered. Information on coverage by individual plans/payers is based on available data, may be outdated, and does not constitute a statement of coverage or an authorization. Providers should always confirm with the applicable plan/payer (whether Medicare, Medicaid, or commercial payers) to confirm coverage, coding, and reimbursement policies. Any utilization of Medtronic products that is not consistent with FDA labeling or approved use (as located in the Instructions for Use, Operator’s Manual, or a package insert), should be reviewed with billing advisors and/or applicable health plans/payers for coverage and billing rules.