Prescribing Info

Dexcom CGM Systems are available by prescription. Below find commercial and Medicare coverage information, CPT codes for clinic reimbursement, certificate of medical necessity form and sample prescriptions.

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This resource can be provided to Medicare patients. The handout describes:

Eligibility requirements for Medicare Part B reimbursement for Medicare beneficiaries Next steps after a patient on Medicare is prescribed a Dexcom CGM including...

The first prescription should include three items: 1 receiver, 1 wireless transmitter, and 1 four-pack of sensors.

1 Receiver

(Indicated for one-year use)

Prescribe Dexcom G5 Mobile CGM for your intensive insulin therapy patients. See the sample prescription below.

Dexcom Continuous Glucose Monitoring (CGM) Systems are currently available for order via Cardinal, McKesson and AmerisourceBergen. Please see the chart below for appropriate order numbers.