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MedicaidBilling CodesMedium impact

Continuous Glucose Monitors pdf

Connecticut Medicaid (HUSKY Health)·CT · Endocrinology, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Mar 2, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid updated billing guidelines for Continuous Glucose Monitors (CGM), changing the reimbursement methodology for FreeStyle Libre systems under code K0553 and clarifying that certain supply codes cannot be billed separately when K0553 is used. DME providers must now match claims to actual shipments and cannot bill until all items are delivered to the patient.

Action Required

Action needed
Effective March 2, 2022: DME providers billing Connecticut Medicaid must update billing practices for CGM systems - stop billing codes A4233-A4259, E0607, and E2101 separately when using K0553, match claims exactly to shipment amounts rather than uniform monthly billing, and ensure date of service reflects the last delivery date when all items are received by patient. Update billing system to prevent separate billing of bundled supply codes.

Affected Billing Codes

K0553
K0554
A4233
A4234
A4235
A4236
A4237
A4238
A4239
A4240
A4241
A4242
A4243
A4244
A4245
A4246
A4247
A4248
A4249
A4250
A4251
A4252
A4253
A4254
A4255
A4256
A4257
A4258
A4259
E0607
E2101
A9276
A9277
A9278