LCDActive
GlycoMark® Testing for Glycemic Control
L36906
Effective: March 27, 2025
Updated: December 31, 2025
Policy Summary
This policy states that GlycoMark® (1,5-anhydroglucitol; 1,5-AG) testing for glycemic control is not covered. The assay, developed by Nippon Kayaku Co., Ltd., is explicitly a non-covered service under this policy, and documentation does not change coverage status.
Coverage Criteria Preview
Key requirements from the full policy
"GlycoMark® assay (1,5-anhydroglucitol; 1,5-AG) for assessment of glycemic control is not covered."
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Covered Medical Codes