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Billing and Coding: GlycoMark Testing for Glycemic Control
A57237
Effective: October 16, 2025
Updated: December 31, 2025
Policy Summary
This policy provides billing and coding guidance for GlycoMark testing for glycemic control. Claims for GlycoMark should use CPT 84378 (or 84999 when appropriate) and follow ABN modifier guidance: GX for voluntary ABNs and GY to indicate statutorily excluded services; a statutory exclusion does not require an ABN.
Coverage Criteria Preview
Key requirements from the full policy
"GlycoMark testing for assessment of glycemic control (use when local coverage determination authorizes GlycoMark testing)."
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