95249
EndocrinologyCMS status: AAmbulatory 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
Practice RVU
1.79
Malpractice RVU
0.01
Total RVU
1.80
2026 Medicare payment
$60.12
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 95249 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
One-time CGM setup and training when patient owns the device. 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.