# CPT 95251

> Medicare paid $44.50 for CPT 95251 in the office (non-facility) setting and $44.50 in a facility under the Q4 2017 Physician Fee Schedule, effective October 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 1.0%.

## What it is

The clinician's review of data downloaded from a continuous glucose sensor worn under the skin, which samples glucose around the clock rather than at finger-stick moments. The clinician reads the trend graphs and overnight patterns, works out where the highs and lows cluster, writes an interpretation, and adjusts treatment accordingly. At least three days of recorded data are needed for the review to be meaningful. This is the interpretation and report; putting the sensor on, calibrating it and training the patient are recorded under a separate code.

## Selected release

- Release: Q4 2017 (2017 D)
- Effective: October 1 – December 31, 2017
- Status indicator: A
- Office (non-facility) national allowed amount: $44.50
- Facility national allowed amount: $44.50
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.85
- Office (non-facility) practice expense RVU: 0.34
- Facility practice expense RVU: 0.34
- Malpractice RVU: 0.05
- Conversion factor: 35.8887
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2017)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17d.zip
- Parsed file: PPRRVU17_OCT.csv, row 15,880
- Canonical page: https://localishealth.com/cpt/95251/2017/A
- Release-specific citation URL: https://localishealth.com/cpt/95251/2017/D
- Last significant update: 2026-08-04T03:07:59+00:00