95251
ProceduresCMS status: AAmbulatory continuous glucose monitoring; analysis, interpretation and report.
Work RVU
0.68
Practice RVU
0.32
Malpractice RVU
0.05
Total RVU
1.05
2026 Medicare payment
$35.07
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 95251 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
CGM data review and interpretation. Once per 30 days regardless of who supplied the device.
Documentation checklist
- ✓Minimum 72 hours of CGM data.
- ✓Interpretation, written report in chart.
- ✓Changes to therapy or recommendations.
Common pitfalls
- !Billing more than once per 30 days.
- !Billing 95251 without 72 hours of data captured.
Common modifiers
25 (on E/M)
Common ICD-10 pairings
E10.9E11.9E11.65
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.