tci Part B Insider - 2004 Issue 27

Diabetes Tests Covered

Medicare will start covering diabetes screening tests next year, including a "fasting plasma glucose test" and a post-glucose challenge test (such as an oral glucose tolerance test with a glucose challenge of 75 grams of glucose, or a two-hour post-glucose challenge test alone). But since Medicare already covers random serum or plasma glucose tests for people with symptoms of uncontrolled diabetes, the screening test won't include those tests. And Medicare may start covering other diabetes screening tests via the NCD process, according to the 2005 proposed physician fee schedule.A patient is "at risk" for diabetes, and eligible for...

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