Diabetes screening tests
Medicare covers diabetes screening tests for Medicare beneficiaries with certain risk factors for diabetes or diagnosed with pre-diabetes.
Note: Medicare beneficiaries previously diagnosed with diabetes are not eligible for this benefit.
HCPCS/CPT codes
- 82947 – Glucose; quantitative, blood (except reagent strip)
- 82950 – Glucose; post glucose dose (includes glucose)
- 82951 – Glucose; tolerance test (GTT), three specimens (includes glucose)
Frequency
- One screening every six months for Medicare beneficiaries diagnosed with pre-diabetes
- One screening every 12 months if previously tested but not diagnosed with pre-diabetes or if never tested
Deductible and coinsurance are waived for this service.
Note: Append modifier TS when submitting claims for Medicare beneficiaries with pre-diabetes.
References