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Practitioner Direct


Professionals - Reimbursement Information

This information is intended to provide general background information to help physicians understand key elements about the reimbursement process. In order to obtain reimbursement, physicians need to determine the appropriate ICD-9 and E & M codes associated with the reason for the patient’s visit. Physicians also determine the appropriate CPT code associated with any test or procedure performed during the office visit. The information defines codes and describes general reimbursement information. For private insurance information, please contact the private insurer directly.


The test is billable to CPT code 83037.

Use QW modifier (83037QW) when coding for Medicare and Medicaid beneficiaries.


National Average for private insurance is $18.00


Medicare payment is $14.17

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    U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2003.
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  4. Data on file; Evaluation of the A1CNow SELFCHECK with lay-users. August 2008.
    * Study results with healthcare professionals showed that the accuracy of A1CNow+ with fingerstick samples was, on average, 99%. This means that, on average, a true 7.0% A1C could read approximately 6.9%A1C. An individual A1CNow+ result may differ by as much as -1.0% A1C to +0.8% A1C from the true result. This represents the 95% confidence limits of a Bland-Altman plot.
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