Blood Sugar Monitoring Billing Guidelines

Billing and Reimbursement
Policy Number: RP-P-013

Last Updated: Feb. 8, 2022

When billing the hemoglobin A1C lab test CPT codes, providers must also bill the associated CPT Category II codes, which represent results of the test as a range of values. BCBSNE will not reimburse provider offices for lab services without submission of the appropriate CPT II code. Please refer to the American Medical Association (AMA) for correct billing and coding guidelines.