Diabetes Screening


  • 82947 - Glucose; quantitative, blood
  • 82950 - Glucose; post glucose dose
  • 82951 - Glucose; tolerance test, three specimens


Beneficiaries diagnosed with pre-diabetes: Two screening tests per year

  • Use modifier TS to indicate beneficiary is pre-diabetic

Beneficiaries previously tested by not diagnosed with pre-diabetes or never tested: One screening per year

Diagnosis Code

Z13.1 - Encounter for screening for diabetes mellitus


Medicare beneficiaries with certain risk factors or diagnosed with pre-diabetes

Risk factors:

  • Any one:
    • Hypertension
    • Dyslipidemia
    • Obesity
    • Previous identification of elevated impaired fasting glucose or glucose tolerance
  • Any two:
    • Overweight
    • Family history
    • Age 65 or older
    • History of gestational diabetes mellitus or delivering baby weighing over nine pounds

This screening is noncovered for beneficiaries previously diagnosed as diabetic


Copayment/coinsurance waived; Deductible waived

Noridian Medicare Portal

Yes - 82947, 82950 and 82951


Last Updated Mar 20 , 2024