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95251 Cont gluc mntr analysis i & r

Medicine

Also known as: glucose monitoring analysis, CGM interpretation, glucose review

Continuous glucose monitoring system; analysis and interpretation of recorded data and review of glucose monitoring system with patient or caregiver.

In Plain Language

blood sugar data review; glucose pattern analysis

Clinical Context

Physician reviews continuous glucose monitor data to assess glycemic control, identify patterns, and adjust diabetes management as needed.

RVU Breakdown

Work RVU0.68
Total RVU0.68

Est. Medicare Payment

$22.71

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.

How This Code Compares

With a work RVU of 0.68, this code ranks in the 44th percentile among Medicine codes — 1.1x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

EndocrinologyInternal MedicinePrimary Care

Frequently Asked Questions

What is CPT code 95251?

CPT 95251 (Cont gluc mntr analysis i & r) is a Medicine code. Continuous glucose monitoring system; analysis and interpretation of recorded data and review of glucose monitoring system with patient or caregiver.

Who uses CPT code 95251?

CPT 95251 is used by Endocrinology, Internal Medicine, Primary Care. Physician reviews continuous glucose monitor data to assess glycemic control, identify patterns, and adjust diabetes management as needed.

When is CPT 95251 used?

Physician reviews continuous glucose monitor data to assess glycemic control, identify patterns, and adjust diabetes management as needed.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.