G0564 Insurance Policy Changes

HCPCS G0564 is officially defined as "Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training." HCPCS G0564 is referenced in 3 tracked payer policy changes from Kansas Medicaid (KanCare), Michigan Medicaid - MDHHS, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0564 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.