Q: How long do I have to appeal a Dexcom G7 prior authorization denial?

Most insurance plans give you 180 days from the denial date to file an internal appeal, but some plans have deadlines as short as 60 days. Call your insurer immediately after receiving your denial letter to confirm your specific deadline. For Medicare, you typically have 60 days to request a redetermination.

From: Prior Authorization for Dexcom G7: Step-by-Step Guide to Fighting an Insurance Denial

Q: What HCPCS billing code is used for the Dexcom G7?

The Dexcom G7 receiver is typically billed under HCPCS code K0553, while CGM supplies and sensors may use A9278. Your physician's office or DME supplier should confirm the exact codes used on your claim, as these codes must match what you reference in your appeal letter.

From: Prior Authorization for Dexcom G7: Step-by-Step Guide to Fighting an Insurance Denial

Q: Does Medicare cover the Dexcom G7?

Yes, Medicare covers the Dexcom G7 under Part B as durable medical equipment for qualifying beneficiaries who use insulin or have problematic hypoglycemia.

From: How to Get Dexcom G7 Free Through Insurance

Q: What if my insurance denies coverage for the Dexcom G7?

You can file a formal appeal with your insurance company. Ask your doctor to provide additional documentation supporting medical necessity, and consider seeking help from patient advocacy resources.

From: How to Get Dexcom G7 Free Through Insurance