HCPCS Modifier TS
Published 07/16/2020
Description
Follow-up service.
Guidelines
Medicare may pay for up to two screening tests per year and one screening test every six months for individuals diagnosed with pre-diabetes. Claims for these screening services are submitted with CPT codes 82947, 82950 or 82951 with a pre-diabetes diagnosis of V77.1 for dates of services on or before September 30, 2015, or Z131 for dates of service on and after October 1, 2015, and HCPCS modifier TS to reflect follow up service.
This service is covered for Medicare beneficiaries with certain risk factors for diabetes or diagnosed with pre-diabetes.
NOTE: Medicare beneficiaries previously diagnosed with diabetes are not eligible for this benefit.
References- The Guide to Medicare Preventive Services
- Select Medicare Preventive Services/Diabetes Screening
- Select Medicare Preventive Services/Diabetes Screening
- CMS Pub. 100-04 Claims Processing Manual, Chapter 18, Section 90.2.1 (PDF, 1.22 MB)