Charge for reading Dexcom Data


#1

On my last endo visit bill, I noticed a billing under “Ambulatory Continuous Glucose Monitor” for $80. I’ve been question this charge for a month and just got this response from my Endo.

“Insurance companies have started covering CGM interpretation as a separate billable item in addition to the office visit. This is similar to EKG interpretation that a cardiologist would do in their office”.

Has anyone else been charged for this? I’m seriously fuming as this is absolutely ridiculous. I won’t be handing over my dexcom at my next visit, I’m planning to hand over an old school log book in protest.


#2

What the in world?!! I have never heard of such foolishness!! :rage: They’ll probably try to assess another fee for “Glucose Log Interpolation and Data Extraction.”


#3

Comparing a Dex download to an EKG is idiotic. I pay for my sensors, my transmitter and receiver and now I’m going to be charged for making his job easier? I guess he doesn’t remember how tedious those log books use to be. Guess this is my kick in the butt I needed to get over my burn out and start being more proactive in my self management.


#4

WOW!! Your endo is into padding his (or her) bill. I’m speechless now.


#5

My endo is fine with the 2 reports I print out from Clarity. Same with my pump. Ditto for my meter. I no longer have his MA download my pump and meter data in the office.


#6

From my understanding, it’s the interpretation of the data, which, is pretty much his job description. I wouldn’t care if he billed my insurance and then cleared my portion off the books, but I’m being billed for making his job easier. I swear, I feel like handing over an old school logbook to him at my next appointment or just finding another Endo.


#7

One of my previous endos did have that charge itemized on my bill – however, his total bill did not increase as a result of that charge. Interestingly, he subsequently had to fight for a “prior authorization” AFTER the fact, because the insurance required that paperwork for payment. I assume he did get it authorized, because I was never back-billed for the fee, plus there was no copay on the line item.