Endocrinology · CMS status A
95249
CGM personal, patient-provided setup
Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training, and printout of recording.
Work RVU
0.00
2026 Medicare pays
$60.12
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.00 + Practice 1.79 + Malpractice 0.01 = 1.80 total
Work (your effort)Practice expenseMalpractice
When to use it
One-time CGM setup and training when patient owns the device.
Full guidance
Once per device, not once per visit.
Documentation checklist
- ✓Patient owns the CGM (not practice-supplied).
- ✓Sensor placement and training documented.
- ✓Calibration and use instructions given.
Common pitfalls
- !Billing 95249 more than once per device.
- !Billing 95249 + 95250 same encounter — they cover different scenarios (patient-owned vs practice-supplied).
Common modifiers
25
Common ICD-10 pairings
E10.9E11.65
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.