G0565 Insurance Policy Changes

HCPCS G0565 is officially defined as "Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 365 day implantable sensor, including system activation." HCPCS G0565 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 G0565 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.