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. 2020 Dec 7;22(12):920–928. doi: 10.1089/dia.2020.0042

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© Stephanie Crossen, et., 2020; Published by Mary Ann Liebert, Inc.

This Open Access article is distributed under the terms of the Creative Commons Attribution Noncommercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.

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FIG. 2. — Steps to use CPT code 95251 for CGM interpretation. (1) Upload CGM documentation to chart—most commonly via scan and PDF upload. (2) Document analysis of CGM data—currently manual but could be automated by diabetes software vendors using automated text generation and copy-paste, or SMART-on-FHIR application. (3) Document service performed—time spent on CGM analysis should not be included in E&M code time. (4) Drop charge for 95251—use 25 modifier if performed on same day as an E&M-coded visit. CGM, continuous glucose monitoring; CPT; FHIR, Fast Healthcare Interoperability Resource; SMART, Substitutable Medical Applications and Reusable Technologies.