Diabetes Screening - JF Part A
Diabetes Screening
HCPCS/CPT Codes
- 82947 - Glucose; quantitative, blood
- 82950 - Glucose; post glucose dose
- 82951 - Glucose; tolerance test, three specimens
Frequency
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
Coverage
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
Payment
Copayment/coinsurance waived; Deductible waived
Noridian Medicare Portal
Yes - 82947, 82950 and 82951
Resources
Last Updated Mar 20 , 2024