Traditional MedicareCoverageMedium impact
Blood Glucose Testing
Medicare/CMS - NCD·Endocrinology, Internal Medicine, Family Medicine +2 more·National Coverage Determination
We identified it
Oct 2, 2026
Summary
This is a National Coverage Determination (NCD 190.20) for Blood Glucose Testing, updated on October 1, 2026. The policy establishes Medicare coverage parameters for laboratory blood glucose tests. Without access to the full policy details, specific coverage criteria, billing code requirements, and any recent changes cannot be determined from the source link alone.
Action Required
Billing team must obtain and review the complete NCD 190.20 policy text from the CMS Medicare Coverage Database at https://www.cms.gov/medicare-coverage-database/data/ncd?ncdid=98&ncdver=2 to identify: (1) specific CPT or HCPCS codes covered for blood glucose testing, (2) any prior authorization requirements, (3) frequency limitations, (4) documentation requirements, and (5) changes from the previous version. Update billing software, encounter templates, and staff training based on findings. Do not bill for blood glucose testing without first confirming coverage criteria and coding requirements with the complete policy.