

Policy No: 69
Originally Created: 01/01/2018
Section: Diagnostic
Last Reviewed: 05/30/2023
Last Revised: 02/01/2020
Approved: 06/22/2023
Effective: 07/01/2023
This policy applies to all dental providers.
HbA1c in-office testing
HbA1c testing via finger-stick provides a 3-month average of the amount of glucose attached to hemoglobin. The test is used to identify patients at risk for diabetes and prediabetes.
Procedure is a non-covered dental service.
Procedure is considered medical. Submit on medical claim form with applicable medical Current Procedural Terminology (CPT®) code and diagnosis code.
American Dental Association, Current Dental Terminology (CDT®)
None
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