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.

Endo Outpatient IM

Model in calculator →Audit a note

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

Pro Max content

Billing guidance for 95249 is locked

When to use it: the exact clinical situations that support billing 95249
Documentation checklist: the 3 elements your note needs before submitting
Common pitfalls: the 2 mistakes that get 95249 downcoded or denied

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Common modifiers

Common ICD-10 pairings

E10.9E11.65

Pairs well with

99204

2.60 wRVU

Office o/p new mod 45 min

99214

1.92 wRVU

Office o/p est mod 30 min

95251

0.68 wRVU

Cont gluc mntr analysis i&r

Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.